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Individual

MRS. PAMELA ANN KENNEDY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0206
Mailing address
1084 GAUGUIN DR, VIRGINIA BEACH, VA 23454-6745
(757) 426-3329

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
1019
TN
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
727742
VA

Other

Enumeration date
02/19/2006
Last updated
07/08/2007
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