| NPI | 1003047267 |
|---|---|
| Former Name | RAELENE D KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036148573) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-148573) |
| 208600000X Surgery (Licence: IL 036-148573) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2025-11-17 |