| NPI | 1396004719 |
|---|---|
| Former Name | MEREDITH ELAINE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MD D0087513) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01073628A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-10-04 |