Individual
IRINA KIM KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(609) 585-1122
(609) 585-0309
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
(606) 585-0309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1071074
TX
363LF0000X
Family Nurse Practitioner
Primary
39104
TN
Other
Enumeration date
06/17/2022
Last updated
03/02/2026
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