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Individual

MS. STEPHANIE M KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3026
(513) 636-0356
(513) 636-2511
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3026
(513) 636-0356
(513) 636-2511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN286357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2543966
OH
05
74009689
KY
Enumeration date
06/23/2006
Last updated
07/08/2007
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