Individual
MRS. MARGENE ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP,CCRC
Contact information
Practice address
1830 E MONUMENT ST, ROOM 7400, BALTIMORE, MD 21287-0020
(410) 614-7392
(410) 614-7552
Mailing address
987 PLACID CT, ARNOLD, MD 21012-1528
(410) 974-0432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO58379
MD
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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