Individual
KIERAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7709 16TH AVE SW, SEATTLE, WA 98106-1840
(206) 372-8257
Mailing address
7709 16TH AVE SW, SEATTLE, WA 98106-1840
(206) 372-8257
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN61181136
WA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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