Individual
SHELYAGH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,FPMHNP-BC
Contact information
Practice address
146 NORTH ST, AUBURN, NY 13021-1831
(315) 253-0341
Mailing address
146 NORTH ST, AUBURN, NY 13021-1831
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401838
NY
Other
Enumeration date
06/16/2015
Last updated
07/07/2015
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