Individual
LYNETTE B. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1101 S COLLEGE RD, STE. 100, LAFAYETTE, LA 70503-3038
(337) 233-8603
(337) 234-0341
Mailing address
1101 S COLLEGE RD, STE. 100, LAFAYETTE, LA 70503-3038
(337) 233-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978035
—
LA
Enumeration date
01/31/2006
Last updated
07/08/2007
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