Individual
RUTH KENNEDY
Active
Individual
RUTH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-028725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08224335
—
MS
05
—
308796400
—
FL
01
—
51545538
BCBS - 1610 CENTER ST
AL
05
—
891003160
—
AL
05
—
891003170
—
AL
Enumeration date
06/02/2006
Last updated
01/26/2021
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