Individual
MS. JANET M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002851
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
28175798A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3009083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426952404
—
IN
05
—
7100327690
—
KY
Enumeration date
12/06/2005
Last updated
04/15/2021
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