Individual
MRS. MAUREEN L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2962
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10087-7578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2297670
MA
367500000X
Certified Registered Nurse Anesthetist
2297670
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
828306
NY
Other
Enumeration date
11/28/2014
Last updated
11/13/2023
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