Individual
ANNA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
14395 PLEASANT WOOD LN, EDMOND, OK 73034-8198
(405) 823-4826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1074559
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1074559
TX
Other
Enumeration date
08/09/2022
Last updated
02/06/2023
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