Individual
MS. COLEEN P KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5540 FALMOUTH ST STE 307, RICHMOND, VA 23230-1800
(804) 288-1111
(804) 288-1112
Mailing address
5540 FALMOUTH ST STE 307, RICHMOND, VA 23230-1800
(804) 288-1111
(804) 288-1112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024120245
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024120245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008925364
—
VA
Enumeration date
10/25/2006
Last updated
07/16/2024
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