Individual
EMILIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2636 ELM HILL PIKE, NASHVILLE, TN 37214-3162
(860) 817-7306
Mailing address
132 CLAYPOOLE HILL RD, FORD CITY, PA 16226-4304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP0108089
PA
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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