Individual
MELISSA H KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 CONSTITUTION PL NE STE 400, ALBUQUERQUE, NM 87110-7644
(505) 559-1000
(505) 291-2830
Mailing address
8100 CONSTITUTION PL NE STE 400, ALBUQUERQUE, NM 87110-7644
(505) 559-1000
(505) 291-2830
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD2006-0551
NM
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD2006-0551
NM
Other
Enumeration date
08/30/2007
Last updated
01/23/2021
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