Individual
KRISTIN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 WESTFORK DR, STE 401, BATON ROUGE, LA 70827-0010
(337) 991-9276
(337) 991-9288
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 991-9288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08717
LA
363LF0000X
Family Nurse Practitioner
AP129413
TX
Other
Enumeration date
05/26/2015
Last updated
04/14/2016
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