| NPI | 1639535362 |
|---|---|
| Former Name | PATRICIA LYNN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704232641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704232641) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-09-12 |