Individual
MR. KENNEDY A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CCRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1-1667795
AL
363LA2100X
Acute Care Nurse Practitioner
1-166795
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11039938
FL
Other
Enumeration date
09/23/2021
Last updated
11/18/2025
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