Individual
DIA KENNEDY
Active
Individual
DIA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
665761
NY
367500000X
Certified Registered Nurse Anesthetist
RN574788
PA
Other
Enumeration date
10/03/2011
Last updated
12/02/2013
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