Individual
MR. CODY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 417-3792
Mailing address
814 PASADENA AVE UNIT A, METAIRIE, LA 70001-4846
(504) 417-3792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN151655
LA
363L00000X
Nurse Practitioner
Primary
219534
LA
Other
Enumeration date
03/26/2021
Last updated
04/03/2023
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