Individual
KENISHA LATOYA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2380467
NY
363LF0000X
Family Nurse Practitioner
Primary
351805
NY
Other
Enumeration date
06/22/2023
Last updated
04/10/2026
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