Individual
MS. KRISTI A. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
900 CENTENNIAL BLVD STE M, VOORHEES, NJ 08043
(855) 632-2667
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NR15415200
NJ
363LA2200X
Adult Health Nurse Practitioner
415907-1
NY
363LW0102X
Women's Health Nurse Practitioner
415907-1
NY
Other
Enumeration date
09/27/2005
Last updated
04/03/2019
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