Individual
SANDRA J. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 901-2300
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30003689
WA
363LG0600X
Gerontology Nurse Practitioner
RN00099564
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9616905
—
WA
Enumeration date
12/28/2006
Last updated
07/26/2007
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