Individual
DR. AILEEN MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 NORTH HWY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
3216 W WALDEN CT, ANTHEM, AZ 85086-1568
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
31878
AZ
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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