| NPI | 1073648481 |
|---|---|
| Former Name | JESSICA C KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60074946) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MD60074946) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-02-13 |