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Contact Information

GUADALUPE M KENNEDY, CFNP
1515 W FIR ST
PORTALES, NM88130-5703
 Phone: 575-356-6695
 Fax: 575-356-5948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GUADALUPE M KENNEDY · (Female)

NPI Number 1598756264
Status Active
Credentials CFNP
Entity Individual
Enumeration date 11/02/2005
Last updated 07/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R30564
  • NM Medicaid 25484052
Hospital affiliation(s)
  • PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care)
    2100 N MARTIN LUTHER KING, JR, BLVD
    CLOVIS, NM 88101
  • ROOSEVELT GENERAL HOSPITAL - (Acute Care)
    42121 US HIGHWAY 70
    PORTALES, NM 88130
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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