Individual
PATRICIA MARIE KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229-8561
(803) 419-8700
(803) 965-6760
Mailing address
197 BERRY TREE LN, COLUMBIA, SC 29223-7447
(803) 790-0205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57903
SC
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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