Tara Kennedy, is a
Licensed Practical Nurse based in Wellford, South Carolina. Tara Kennedy is licensed to practice in South Carolina (license number 41724) and her current practice location is
130 Courtesy Ln, Wellford, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 541-4859.
NPI number for Tara Kennedy is 1225790298 and her current mailing address is 130 Courtesy Ln, Wellford, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225790298.
Provider's Profile
Full Name | Tara Kennedy |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 130 Courtesy Ln, Wellford, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225790298
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 10/07/2021
Medical Identifiers
Medical identifiers for Tara Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225790298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 41724 (South Carolina) | 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. Tara 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 |
Tara Kennedy, 130 Courtesy Ln, Wellford, SC 29385-9490 Ph: () - | Tara Kennedy, 130 Courtesy Ln, Wellford, SC 29385-9490 Ph: (864) 541-4859 |
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