Bethany Joy Kennedy
Nurse Practitioner - Acute Care
112 Mansfield Ave
Willimantic
, Connecticut 06226
Bethany Joy Kennedy
Nurse Practitioner - Acute Care
112 Mansfield Ave
Willimantic
, Connecticut 06226
(860) 456-9116
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Bethany Joy Kennedy
- 112 Mansfield Ave
- Willimantic, CT
- Zip : 06226-2045
- Phone : (860) 456-9116
Second Address
- Bethany Joy Kennedy
- 112 Mansfield Ave
- Willimantic, CT
- Zip : 06226
- Phone : (860) 456-9116
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 7663 | CT |
| N | 363LA2100X | Nurse Practitioner - Acute Care | APRN01804 | RI |
National Provider Identifier
| NPI | 1003301136 |
|---|---|
| Provider Name | Bethany Joy Kennedy |
| First Address | Willimantic, CT 06226-2045 |
| Second Address | Willimantic, CT 06226 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2018 |
| Last Update Date | 26/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.