IndividualActive
Bethany Kennedy, APRN
NPI 1003301136 · Acute Care Nurse Practitioner · Willimantic, CT
Provider details
- NPI number
- 1003301136
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN01804 (RI)
Mailing address
112 Mansfield Ave
Willimantic, CT 06226-2045
Registry dates
- Enumerated
- 2018-07-01
- Last updated
- 2018-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.