Individual
GUADALUPE M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1515 W FIR ST, PORTALES, NM 88130-5703
(575) 356-6695
(575) 356-5948
Mailing address
PO BOX 843, PORTALES, NM 88130-0843
(575) 356-6695
(575) 356-5948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R30564
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25484052
—
NM
Enumeration date
11/02/2005
Last updated
07/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us