Individual
LISA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662
(901) 274-1871
Mailing address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662
(901) 274-1871
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
19977
TN
207RP1001X
Pulmonary Disease Physician
19977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082385
—
TN
Enumeration date
11/07/2005
Last updated
02/17/2020
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