Individual
MARISA JOY KENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
810 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 614-4420
Mailing address
810 SIR THOMAS CT STE 101, HARRISBURG, PA 17109-4839
(717) 614-4420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN696220
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024131
PA
Other
Enumeration date
07/19/2021
Last updated
02/19/2026
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