Individual
MS. MARLY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
(541) 756-8982
Mailing address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
(541) 756-8982
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450131NP
OR
Other
Enumeration date
05/31/2007
Last updated
12/28/2018
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