Individual
DR. KATHERINE EDITHE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1728 W GLENDALE AVE STE 100, PHOENIX, AZ 85021-8862
(480) 812-3668
(480) 782-1290
Mailing address
1728 W GLENDALE AVE STE 100, PHOENIX, AZ 85021-8862
(480) 812-3668
(480) 782-1290
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0818
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
135.000790
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z179475
—
AZ
Enumeration date
10/20/2012
Last updated
09/12/2019
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