| NPI | 1326051582 |
|---|---|
| Former Name | KATHLEEN MARY KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 230118) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-07-21 |