Kennedy, Tanya F

Kennedy, Tanya F is an individual health care provider with primary practice located at 1106 Hazel Ln , Farmington MO 63640-1999. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kennedy, Tanya F can be contacted via phone (573) 756-6751.

Contact Information

Primary practice address
1106 Hazel Ln Farmington MO 63640-1999
Phone: (573) 756-6751
Fax: (573) 756-6807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2016032673 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016032673 Missouri

Profile Details

NPI number 1801345574
LBN Legal business name Kennedy, Tanya F
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2016
Last updated Sep 26th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801345574 NPPES
Missouri Other 2016032673 STATE FNP LICENSE

Popular Providers