Michelle M Kennedy
Nurse Practitioner - Women's Health
222 Tongass Dr 514 Lake Street Suite B
Sitka
, Alaska 99835-9416
Michelle M Kennedy
Nurse Practitioner - Women's Health
222 Tongass Dr 514 Lake Street Suite B
Sitka
, Alaska 99835-9416
(907) 966-8772
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Michelle M Kennedy
- 109 Bahrt Cir
- Sitka, AK
- Zip : 99835-7237
- Phone : (907) 966-8772
Second Address
- Michelle M Kennedy
- 222 Tongass Dr 514 Lake Street Suite B
- Sitka, AK
- Zip : 99835-9416
- Fax : (907) 966-8708
- Phone : (907) 966-8772
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 946 | AK |
National Provider Identifier
| NPI | 1104094424 |
|---|---|
| Provider Name | Michelle M Kennedy |
| First Address | Sitka, AK 99835-7237 |
| Second Address | Sitka, AK 99835-9416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2008 |
| Last Update Date | 22/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1104094424 | (05) | AK |
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.