Individual
MRS. AMANDA LAUREN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
11690 GROOMS RD, BLUE ASH, OH 45242-1412
(513) 917-9697
Mailing address
4615 NORTHRIDGE DR, BATAVIA, OH 45103-1385
(513) 917-9697
(513) 901-8068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.391672
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.021254
OH
Other
Enumeration date
08/04/2017
Last updated
11/18/2022
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