Tyson, Victoria Kennedy

Tyson, Victoria Kennedy is an individual health care provider with primary practice located at 175 Admiral Cochrane Dr Ste 110 , Annapolis MD 21401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tyson, Victoria Kennedy can be contacted via phone (410) 571-0888.

Contact Information

Primary practice address
175 Admiral Cochrane Dr Ste 110 Annapolis MD 21401
Phone: (410) 571-0888
Fax: (410) 571-0889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R097928 Maryland

Profile Details

NPI number 1285941641
LBN Legal business name Tyson, Victoria Kennedy
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Jun 7th, 2018 - about 8 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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