Organization
RAYMOND KENNEDY MD PA
Active
Other names
Aris Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY WILSON (GENERAL MANAGER)
(651) 259-9727
Entity
Organization
Contact information
Practice address
9680 TAMARACK RD # 100, WOODBURY, MN 55125-2617
(651) 738-0470
Mailing address
7616 CURRELL BLVD STE 100, WOODBURY, MN 55125-2295
(651) 259-9750
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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