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Individual
DONALEE KENNEDY
Active
Individual
DONALEE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110913
NE
363LW0102X
Women's Health Nurse Practitioner
52963
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110913
APRN
NE
01
—
52963
RN LICENSE
NE
01
—
F-125658
ARNP
IA
Enumeration date
09/27/2007
Last updated
03/27/2013
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