Individual
MS. SALLY JEAN KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1898 E SOUTHERN AVE, TEMPE, AZ 85282-5836
(480) 838-0068
(480) 838-3409
Mailing address
2322 S. ROGERS, #54, MESA, AZ 85202-6561
(480) 820-7957
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN-39547
AZ
363LF0000X
Family Nurse Practitioner
RN-39547
AZ
Other
Enumeration date
11/22/2005
Last updated
09/11/2025
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