DR. LAURA JOANNA KENNICUTT FNP-C NPI 1730646431

NPI Information

NPI: 1730646431
Provider Name: DR. LAURA JOANNA KENNICUTT, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ARIZONA COMMUNITY PHYSICIANS PC

PECOS Registration: Yes

Address:
6565 E CARONDELET DR STE 275
TUCSON, AZ
ZIP 85710
Phone: (520) 298-0147
Get Directions

DR. Laura Joanna Kennicutt, FNP-C is a family nurse practitioner in Tucson, AZ with 6 years of experience. DR. Laura Joanna Kennicutt, FNP-C NPI is 1730646431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

6565 E CARONDELET DR STE 275
TUCSON, AZ
ZIP 85710-529
Phone: (520) 298-0147

The NPI 1730646431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 4/1/2020.

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	363LF0000X	Nurse Practitioner	Family	RNP223092	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MK5179103	OTHER		DEA REGISTRATION NUMBER

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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