Ms Patrice L Kennedy, APRN is a
Nurse Practitioner - Family based in Slc, Tennessee. Ms Patrice L Kennedy is licensed to practice in Utah (license number 263948-4405) and her current practice location is
500 Foothill Drive, Slc, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(801) 582-1565.
NPI number for Ms Patrice L Kennedy is 1164450789 and her current mailing address is 7898 Showcase Ln, Sandy, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164450789.
Provider's Profile
| Full Name | Ms Patrice L Kennedy |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 500 Foothill Drive, Slc, Tennessee |
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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: 1164450789
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Patrice L Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164450789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 263948-4405 (Utah) | 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. Ms Patrice L 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 |
|---|
Ms Patrice L Kennedy, APRN
7898 Showcase Ln,
Sandy, UT 84094-7252
Ph: (801) 565-0136 | Ms Patrice L Kennedy, APRN
500 Foothill Drive,
Slc, TN 84148
Ph: (801) 582-1565 |
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