Individual
ANDRA R KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5900 NW 86TH ST, SUITE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Mailing address
5900 NW 86TH ST, SUITE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
648
IA
Other
Enumeration date
03/24/2006
Last updated
10/16/2007
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