Individual
MRS. MADELYN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1011 W GROVE ST, SUITE 120, KAUFMAN, TX 75142-1882
(972) 932-1319
(972) 932-1396
Mailing address
1011 W GROVE ST, SUITE 120, KAUFMAN, TX 75142-1882
(972) 932-1319
(972) 932-1396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
863459
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127205
TX
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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