Individual
MRS. AMY REBECCA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 MCCLELLAN ST, 2 EAST, SCHENECTADY, NY 12304-1009
(518) 347-5421
Mailing address
600 MCCLELLAN ST, 2 EAST, SCHENECTADY, NY 12304-1009
(518) 347-5421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10135959
CDPHP
—
Enumeration date
10/02/2006
Last updated
01/06/2010
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