Individual
ADRIA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1019 ROUTE 132, HYANNIS, MA 02601-1839
(508) 778-1839
Mailing address
72 N WATER ST, NEW BEDFORD, MA 02740-6264
(508) 778-1839
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN227719
MA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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