Individual
MR. RICHARD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
PO BOX 951631, LAKE MARY, FL 32795-1631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN3213492
FL
Other
Enumeration date
12/25/2018
Last updated
12/25/2018
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