Individual
DANA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
824 SOUTHPARK CIR, ATHENS, TX 75752-6943
(903) 675-7376
Mailing address
824 SOUTHPARK CIR, ATHENS, TX 75752-6943
(903) 675-7376
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP130127
TX
Other
Enumeration date
02/09/2016
Last updated
05/07/2017
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