Organization
BONNIE KENNEDY, APRN, BC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KENNEDY MSN,APRN,BC (PRESIDENT)
(336) 209-3568
Entity
Organization
Contact information
Practice address
3518 DRAWBRIDGE PKWY, GREENSBORO, NC 27410-8432
(336) 209-3568
(336) 209-3568
Mailing address
3518 DRAWBRIDGE PKWY, GREENSBORO, NC 27410-8432
(336) 209-3568
(336) 209-3568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
090018 (RN)
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090018
RN LICENSE #
NC
Enumeration date
11/09/2007
Last updated
03/19/2010
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