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NPI Code Detail

MEDICARE: DR. AMY KATHLEEN KENNEDY PHARM.D.

MEDICARE: DR. AMY KATHLEEN KENNEDY PHARM.D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0202208634VA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist15469-040WI
31835P2201XAmbulatory Care PharmacistS018188AZ

General Provider Information

NPI Number : 1285962258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY KATHLEEN KENNEDY PHARM.D.
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 3950 S COUNTRY CLUB RD STE 130
Second Line :
City : TUCSON
State : AZ
Zip : 85714-2203
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 01/24/2025

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