Individual
CAROLINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP/CNM/FNP-C
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 662-1511
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60593682
WA
367A00000X
Advanced Practice Midwife
AP60588644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047603
—
WA
Enumeration date
08/24/2015
Last updated
08/10/2026
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