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Individual

KAREN E KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1118 GULF BREEZE PKWY, STE 201, GULF BREEZE, FL 32561-7800
(850) 916-7766
(850) 916-5144
Mailing address
1118 GULF BREEZE PKWY, STE 201, GULF BREEZE, FL 32561-7800
(850) 916-7766
(850) 916-5144

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME75325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701115
UNITED HEALTH CARE
FL
01
192082
COVENTRY
FL
01
21149353644
BEECH STREET
FL
01
58754
BS FLORIDA
FL
01
58754Z
MEDICARE PTAN
FL
01
59041231KEN
BS ALABAMA
FL
01
7856118
AETNA
FL
01
8087061
CIGNA
FL
Enumeration date
06/30/2006
Last updated
12/08/2007
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