NPI 1003301136

Bethany Joy Kennedy, APRN

Practitioner Acute Care Nurse Practitioner Willimantic, CT

Practice location

Address: 112 Mansfield Ave, Willimantic, CT 06226
Phone: (860) 456-9116
Mailing address: 112 Mansfield Ave, Willimantic, CT 06226-2045

Registered specialties (2)

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 7663 (CT)

Other Nurse Practitioner providers in Connecticut →

Acute Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence APRN01804 (RI)

Registry record

NPI: 1003301136
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2018
Record last updated: 26 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.