# BEVERLY M KENNEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538129762
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LW0102X | Women's Health Nurse Practitioner | 039588-23-04 | NH | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 039588-23 | NH | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 01/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 043775640 | PHCS | NH |
| 01 | — | 043775640 | HCVM/FIRST HEALTH | NV |
| 01 | — | 4005898Y0NH02 | ANTHEM BCBS NH | NH |
| 01 | — | NP0469 | BCBSMA | MA |