Individual
PATSY A. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
307 UNIVERSITY BLVD N, HSB SUITE 1200, MOBILE, AL 36688-3053
(251) 460-7681
(251) 414-8227
Mailing address
307 UNIVERSITY BLVD N, HSB SUITE 1200, MOBILE, AL 36688-3053
(251) 460-7681
(251) 414-8227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-022627
AL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1-022627
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06988741
—
MS
05
—
1163392
—
LA
05
—
1457399628
—
AL
05
—
305364400
—
FL
01
—
51514835
BLUE CROSS
AL
01
—
51514836
BLUE CROSS
AL
01
—
51545852
BCBS-STUDENT HLTH
AL
05
—
891005180
—
AL
05
—
891005190
—
AL
Enumeration date
06/02/2006
Last updated
04/29/2008
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