Individual
PATRICIA T KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 222-0407
Mailing address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 222-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
633673103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564567
—
LA
Enumeration date
09/22/2005
Last updated
07/01/2010
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