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Individual

CARRIE ELLEN KENNEY

Active
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Individual

CARRIE ELLEN KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0000301
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L1-0021040
DE

Other

Enumeration date
07/25/2006
Last updated
02/28/2014
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