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General NPI Number Information
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NPI Number | 1083277727
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Entity Type | Individual
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Provider Name | JULIE-ANN THOMPSON KENNEY
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Gender | Female
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-2429
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Country | US
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Telephone | 352-273-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 8080 NW 20TH CT
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City | SUNRISE
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State | FL
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Zip | 33322-3910
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Country | US
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Telephone | 954-495-1050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME169495
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License Number State | FL
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