Individual
KATHLEEN L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 SCENERY DR, MC 56-02, STATE COLLEGE, PA 16801-7974
(814) 231-4560
(814) 231-6246
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA051200
PA
363A00000X
Physician Assistant
Primary
MA051200
PA
Other
Enumeration date
05/10/2006
Last updated
01/07/2021
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