Traci Kennedy is a Charleston, South Carolina based nurse practitioner with 9 years of experience in . She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Traci Kennedy is 21498 in South Carolina. Her current practice location is 171 Ashley Ave, Charleston. Patients can reach her at 843-792-1414. Traci Kennedy is NP and her NPI number (Unique professional ID assigned by NPPES) is 1306206990. Traci Kennedy has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Traci Kennedy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Traci Kennedy
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
171 Ashley Ave, Charleston, South Carolina, 29425-3208
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062709561
Enrollment ID:
I20180523000848
NPI Number:
1306206990
NPI Enumeration Date:
25 Feb, 2016
NPI Last Update On:
31 Oct, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Traci Kennedy are as mentioned below.
License Number
Specialization
State
Status
21498
South Carolina
Primary
28091733A
Registered Nurse
Indiana
Secondary
71006563A
Nurse Practitioner
Indiana
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Traci Kennedy is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Elite Healthcare Physical Medicine Llc (3577853449)
3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Traci Kennedy Po Box 751461, Charlotte, North Carolina
Zip:
28275-1461
Phone Number:
843-792-6200
Patients can reach Traci Kennedy at 171 Ashley Ave, Charleston, South Carolina or can call to book an appointment on 843-792-1414.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.