Organization
PATRICIA MELO'KENNEDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA MELO'KENNEDY LPN (LPN)
(718) 545-2030
Entity
Organization
Contact information
Practice address
5014 BROADWAY APT 3A, WOODSIDE, NY 11377-1811
(718) 545-2030
Mailing address
5014 BROADWAY APT 3A, WOODSIDE, NY 11377-1811
(718) 545-2030
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
254997
NY
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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