| NPI | 1215999644 |
|---|---|
| Former Name | PATRICIA MARION KENNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 097006501N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005464) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-12-28 |