PWK, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2594912 Issued in FL

Legal business name

PWK, INC.

Practice address

1897 Palm Beach Lakes Blvd
Suite 222
West Palm Beach, FL 33409-3507

Phone

(561) 719-2385

Fax

(561) 659-2825

NPI assigned

Mar 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phyllis C Kennedy, ARNP

Title

President

Phone

(561) 719-2385

Specialties & licenses 1

Addresses

Other names 1

• Phyllis C. Kennedy, ARNP Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1831361393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 222",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507",
            "telephone_number": "561-719-2385",
            "fax_number": "561-659-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 222",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507",
            "telephone_number": "561-719-2385",
            "fax_number": "561-659-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-719-2385",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2594912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phyllis C. Kennedy, ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.