Keirsten Kennedy
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgewater, VA
NPI 1043972227 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1043972227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 402 E College St
Bridgewater, VA 22812-1511 - Phone
- (540) 828-8000
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
402 E College St
Bridgewater, VA 22812-1511
Mailing address
6 Green Leaf Ter
Stafford, VA 22556-3624
Phone (540) 840-7503
Other providers in Bridgewater, VA
- Independence Alive & Well Inc
- Deondre M Johnson
- Journey Counseling Ministries, Inc
- Lesly Jamillette Joya
- Andrew Kegley
- Madison Kibler
- Erica Brooke Kiessling
- Emily Jasmine King
- Kailey Noonan Klauenberg
- Brittany Shay Kline
All providers in Bridgewater, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.