Individual
CHRISTINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8640 SUDLEY ROAD, SUITE 303, MANASSAS, VA 20110-4404
(703) 361-7778
(703) 361-7778
Mailing address
8640 SUDLEY ROAD, SUITE 303, MANASSAS, VA 20110-4404
(703) 361-7778
(703) 361-1811
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024074701
VA
Other
Enumeration date
06/26/2007
Last updated
10/09/2014
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