MAEGEN RICKI KENNEDY PA-C NPI 1801165485

NPI Information

NPI: 1801165485
Provider Name: MAEGEN RICKI KENNEDY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4107 SOUTH CAPTIAL TEXAS HWY SUITE 100A
AUSTIN, TX
ZIP 78704
Phone: (512) 443-9355
Get Directions

Maegen Ricki Kennedy, PA-C is a medical physician assistant in Austin, TX. Maegen Ricki Kennedy, PA-C NPI is 1801165485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4107 SOUTH CAPTIAL TEXAS HWY SUITE 100A
AUSTIN, TX
ZIP 78704
Phone: (512) 443-9355

The enumeration date for this NPI number is 12/28/2011 and was last updated on 12/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA07534	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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