Individual provider · Type 1 NPI
Bethany Joy Kennedy, APRN
Acute Care Nurse Practitioner · Willimantic, CT
NPI number
1003301136
Active
Practice location
112 Mansfield Ave
Willimantic, CT 06226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN01804 (RI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 7663 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003301136
Bethany Joy Kennedy, APRN's National Provider Identifier is 1003301136, issued on Jul 1, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Willimantic, CT. The record was last updated on Jul 26, 2018.