Individual
MARTI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17241 OAK DR, OMAHA, NE 68130-2428
(402) 896-1242
Mailing address
2463 N 144TH AVE, OMAHA, NE 68116-4105
(402) 618-8456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3325
NE
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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