Individual
SUSAN MARIE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1850 TOWN CENTER PKWY, SUITE 400, RESTON, VA 20190-3219
(703) 810-5204
(703) 385-0575
Mailing address
PO BOX 71230, PHILADELPHIA, PA 19176-6230
(703) 383-6469
(703) 385-0575
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R090027
VA
Other
Enumeration date
12/16/2008
Last updated
03/29/2011
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