Patricia T Kennedy in Shreveport - Nurse Practitioner

Patricia T Kennedy - NPI 1972599116

Patricia T Kennedy is a Nurse Practitioner in Shreveport, Louisiana. Patricia T Kennedy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Patricia T Kennedy is 1972599116. The last update date is 2010-07-01.

Patricia T Kennedy's current location address is 1800 Buckner St, Shreveport, Louisiana. You can contact this provider via phone number 3182278899 and fax number 3182220407. The mailing address for Patricia T Kennedy is 1800 Buckner St, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia T Kennedy
Address 1800 Buckner St, Shreveport, Louisiana
Phone Number 3182278899
Fax Number 3182220407
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1972599116
Provider Enumeration Date 2005-09-22
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 1800 Buckner St
City Shreveport
State Louisiana (LA)
Post Code 711014440
Phone Number 3182278899
Fax Number 3182220407

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 633673103
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1564567 LA --

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FAQs about Patricia T Kennedy

What is the unique 10-digit identifier code assigned to Patricia T Kennedy by the Centers for Medicare & Medicaid Services?

The Patricia T Kennedy has been issued the NPI (National Provider Identifier) 1972599116 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Patricia T Kennedy is located?

The Patricia T Kennedy is situated at the following address: 1800 Buckner St, Shreveport, LA, 711014440.

What is Patricia T Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patricia T Kennedy's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

When was the Patricia T Kennedy's 1972599116 issued?

The Patricia T Kennedy's 1972599116 was issued on 2005-09-22.

As of what date was the information pertaining to Patricia T Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patricia T Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-01.

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