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Individual

MS. BRENA SUZANN KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1100 N BROAD ST, SUITE B, GLOBE, AZ 85501-2757
(928) 425-8200
(928) 425-8406
Mailing address
9354 A. S. SIX SHOOTER CYN RD., GLOBE, AZ 85501
(928) 425-2804
(928) 425-8406

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2147
AZ

Other

Enumeration date
02/20/2007
Last updated
03/26/2015
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