Individual
MRS. JULIE ALLEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2765
AZ
363AS0400X
Surgical Physician Assistant
2765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3970
HEALTHNET
AZ
05
—
774811
—
AZ
Enumeration date
01/30/2006
Last updated
10/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us