Individual
MRS. CHRISTY L KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY MANAGER
Contact information
Practice address
11320 N PARKSMITH DR, MEAD, WA 99021-9501
(509) 703-2202
Mailing address
11320 N PARKSMITH DR, MEAD, WA 99021-9501
(509) 703-2202
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
60346851
WA
246Q00000X
Pathology Specialist/Technologist
60346851
WA
246QB0000X
Blood Banking Specialist/Technologist
Primary
603
WA
246QB0000X
Blood Banking Specialist/Technologist
60346851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60346851
MEDICAL ASST PHLEBOTOMY AND NATIONAL PHLEBOTOMY
WA
Enumeration date
06/21/2021
Last updated
06/21/2021
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