Kennedy, Sophia A

Kennedy, Sophia A is an individual health care provider with primary practice located at 5113 Holly Springs Pkwy , Canton GA 30115-7440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Sophia A can be contacted via phone (783) 989-6976.

Contact Information

Primary practice address
5113 Holly Springs Pkwy Canton GA 30115-7440
Phone: (783) 989-6976
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1116598 Georgia

Profile Details

NPI number 1811418650
LBN Legal business name Kennedy, Sophia A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2017
Last updated Apr 8th, 2022 - about 4 years 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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