Organization
KRISTY R. KENNEDY MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY KENNEDY (OWNER)
(901) 674-2525
Entity
Organization
Contact information
Practice address
1101 S COLLEGE RD, SUITE 202, LAFAYETTE, LA 70503-3038
(337) 235-6886
Mailing address
119 BEVERLY DR, LAFAYETTE, LA 70503-3105
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD.204714
LA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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