| NPI | 1700963915 |
|---|---|
| Former Name | MARCELLA C KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 057945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 006129) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |