Brenda A Kennedy, APN is a
Physician Assistant - Medical based in Manila, Arkansas. Brenda A Kennedy is licensed to practice in Arkansas (license number A01337) and her current practice location is
434 Hwy 18 Bypass, Manila, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 561-3300.
NPI number for Brenda A Kennedy is 1164502290 and her current mailing address is Po Box 910, Manila, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164502290.
Provider's Profile
| Full Name | Brenda A Kennedy |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 434 Hwy 18 Bypass, Manila, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164502290
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 09/16/2010
Medical Identifiers
Medical identifiers for Brenda A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164502290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | A01337 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda A Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda A Kennedy, APN
Po Box 910,
Manila, AR 72442-0910
Ph: (870) 561-3300 | Brenda A Kennedy, APN
434 Hwy 18 Bypass,
Manila, AR 72442
Ph: (870) 561-3300 |
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