| NPI | 1023491743 |
|---|---|
| Other Name | MICHAEL GLENN KENNEDY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WA AP30002443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00087927) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |