Individual
MS. KIMBERLY ELAINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1300 W EPHRATA, CONNELL, WA 99326
(509) 544-3516
Mailing address
4407 W METALINE AVE, KENNEWICK, WA 99336-2343
(509) 544-3516
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00145824
WA
261QP2400X
Prison Health Clinic/Center
RN00145824
WA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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