Individual
MS. MARY CAROL PATRICIA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CS CCDP-D
Contact information
Practice address
723 BRADDOCK AVE, TCV, BRADDOCK, PA 15104-1849
(412) 824-8510
(412) 824-0179
Mailing address
519 PENN AVE, TCV, TURTLE CREEK, PA 15145-2082
(412) 824-8510
(412) 824-0179
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN158452L
PA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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