Individual
EVAN PAUL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2960 E MARKET ST, YORK, PA 17402-2414
(717) 751-2483
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002796
PA
363AM0700X
Medical Physician Assistant
MA-053002
PA
Other
Enumeration date
08/09/2007
Last updated
02/15/2022
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