Individual
ABIGAIL TOWNSEND KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD166713
OR
208M00000X
Hospitalist Physician
MD166713
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2009
Last updated
11/03/2020
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