Individual
GLORIA FAYE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 W MAIN ST, SUITE 2, LEBANON, VA 24266-4214
(276) 889-2394
(276) 889-4716
Mailing address
PO BOX 369, LEBANON, VA 24266-0369
(276) 889-1297
(276) 889-3861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170879
VA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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