Individual
MRS. LORRAINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-3730
(718) 558-1000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN455481
NY
Other
Enumeration date
06/30/2006
Last updated
10/11/2007
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