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Organization
RAYMOND KENNEDY MD PA
Active
Organization
RAYMOND KENNEDY MD PA
Active
Other names
Aris Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY WILSON (GENERAL MANAGER)
(651) 259-9727
Entity
Organization
Contact information
Practice address
9680 TAMARACK RD # 100, WOODBURY, MN 55125-2617
(651) 738-0470
Mailing address
7616 CURRELL BLVD STE 100, WOODBURY, MN 55125-2295
(651) 259-9750
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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