| NPI | 1548743875 |
|---|---|
| Former Name | SARAH ANN KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA101261) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363A00000X Physician Assistant (Licence: NH 1422) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-02-02 |