Kennon, Lacey

Kennon, Lacey is an individual health care provider with primary practice located at 622 Riverside Dr , Monroe LA 71201-6211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kennon, Lacey can be contacted via phone (318) 398-0945.

Contact Information

Primary practice address
622 Riverside Dr Monroe LA 71201-6211
Phone: (318) 398-0945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 213079 Louisiana

Profile Details

NPI number 1528642014
LBN Legal business name Kennon, Lacey
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2021
Last updated Jun 15th, 2021 - 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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