Individual
MR. ANDREW RICARD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7667
Mailing address
600 CAISSON HILL RD, IRWIN ARMY COMMUNITY HOSPITAL, FORT RILEY, KS 66442
(785) 239-7667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1109727
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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