Individual
SHANNON M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5196
(518) 262-6472
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5196
(518) 262-6472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
430254
NY
Other
Enumeration date
07/24/2006
Last updated
04/26/2012
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