Individual
KIM LYNEE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-7696
Mailing address
2701 23RD ST, SACRAMENTO, CA 95818-3120
(916) 452-5446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3190
CA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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