Individual
MS. KIMBERLY KRISTINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 953-4799
(502) 953-4798
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002147
KY
363LF0000X
Family Nurse Practitioner
ARNP93334483
FL
Other
Enumeration date
06/12/2007
Last updated
10/07/2019
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