Individual
JENNIFER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-3200
Mailing address
PO BOX 951915, CLEVELAND, OH 44193-0021
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
88173
WV
367500000X
Certified Registered Nurse Anesthetist
R206415
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN594082
PA
Other
Enumeration date
09/13/2012
Last updated
04/03/2020
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