Individual
BILLIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 MATTHEW ST STE 305, MARIETTA, OH 45750-1600
(740) 568-5662
(740) 568-5672
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
58141
NM
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0026979
OH
Other
Enumeration date
10/22/2019
Last updated
05/04/2026
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