Individual
MARK S KENNEDY
Active
Individual
MARK S KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
45922
KS
363L00000X
Nurse Practitioner
66851
OK
363LF0000X
Family Nurse Practitioner
Primary
141364
MO
Other
Enumeration date
03/07/2007
Last updated
10/05/2018
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