Individual
ANDREW KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-6157
Mailing address
114 25TH AVE, ALTOONA, PA 16601-3920
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002652L
PA
Other
Enumeration date
09/29/2006
Last updated
05/24/2021
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