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Individual

SHEILA M KENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274
(360) 428-2560
(360) 428-2596
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30001763
WA
363LP0200X
Pediatric Nurse Practitioner
AP30001763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263705
LABOR & INDUSTRIES
WA
Enumeration date
07/18/2007
Last updated
11/03/2010
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