Kennedy, Shelly K

Kennedy, Shelly K is an individual health care provider with primary practice located at 141 S Emerson Ave , Wenatchee WA 98801-2612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennedy, Shelly K can be contacted via phone (504) 452-5252.

Contact Information

Primary practice address
141 S Emerson Ave Wenatchee WA 98801-2612
Phone: (504) 452-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10019618 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08549 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X RN126476 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP.AP.60686679-NP Washington

Profile Details

NPI number 1689044026
LBN Legal business name Kennedy, Shelly K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated May 28th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689044026 NPPES
Washington MEDICAID 2078508
Washington MEDICAID 04274756

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