Individual
MELISSA FAY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(549) 396-7669
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA245
FL
Other
Enumeration date
09/29/2014
Last updated
10/13/2020
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