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Individual

MR. MICHAEL KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, ARNP

Contact information

Practice address
1116 SUMMIT AVE, THERAPEUTIC HEALTH SERVICES, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
PO BOX 1275, 251 EAST NORTHCREST DRIVE, ALLYN, WA 98524-1275
(360) 990-6796

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00087927
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30002443
WA

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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