Individual
JAMIE L. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
0101252105
VA
207RC0000X
Cardiovascular Disease Physician
0101252105
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116017173
VA
Other
Enumeration date
05/03/2007
Last updated
04/20/2021
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