TRACI KENNEDY

CHARLESTON, SC
NPI1306206990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  21498)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: IN  28091733A)
363L00000X Nurse Practitioner
(Licence: IN  71006563A)
Enumeration Date2016-02-25
Last Update Date2023-10-31
Business Address
TRACI KENNEDY NP
171 ASHLEY AVE
CHARLESTON, SC 29425-3208
Phone number: 843-792-1414
Mailing Address
TRACI KENNEDY NP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200