Individual
COLLEEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 476-3353
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD417663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418731
—
NJ
Enumeration date
07/01/2006
Last updated
02/20/2025
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