Kennedy, Tracy

Kennedy, Tracy is an individual health care provider with primary practice located at 160 Kendal Dr Kendal At Lexington, Lexington VA 24450-1794. 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, Tracy can be contacted via phone (540) 464-2609.

Contact Information

Primary practice address
160 Kendal Dr Kendal At Lexington Lexington VA 24450-1794
Phone: (540) 464-2609
Fax: (540) 463-2756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024152917 Virginia

Profile Details

NPI number 1730187709
LBN Legal business name Kennedy, Tracy
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730187709 NPPES
Virginia Other 00V830L78 PROVIDER #

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