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NPI Code Detail

MEDICARE: MRS. EMILY KATHERINE KENEDA

MEDICARE: MRS. EMILY KATHERINE KENEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1477341170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY KATHERINE KENEDA
Provider Business Mailing Address
First Line : 805 6TH AVE W STE 100
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28739-4160
Country : US
Telephone Number : 828-697-0105
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 702-715-6691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2025
Last Update Date : 02/09/2026

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