Individual
MR. DANIEL O'NEILL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1432 SULTAN DRIVE, SUITE 100, FORT DETRICK, MD 21702-5001
(301) 619-4062
(301) 619-4480
Mailing address
10408 FARMVIEW CT, NEW MARKET, MD 21774-6909
(301) 619-4062
(301) 619-4480
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
560769
TX
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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