Individual
DR. JENNIFER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4283
(215) 662-6698
(215) 662-3953
Mailing address
3400 SPRUCE ST, GROUND RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6698
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
554
NE
207P00000X
Emergency Medicine Physician
Primary
OS020833
PA
208D00000X
General Practice Physician
554
NE
Other
Enumeration date
05/08/2007
Last updated
07/24/2025
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