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NPI Code Detail

MEDICARE: MRS. PATRICIA KENNEDY NP

MEDICARE:  MRS. PATRICIA  KENNEDY  NP
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
1363L00000XNurse Practitioner37245CO

General Provider Information

NPI Number : 1457345746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA KENNEDY NP
Provider Business Mailing Address
First Line : 701 E HAMPDEN AVE
Second Line : SUITE 530
City : ENGLEWOOD
State : CO
Zip : 80113-2736
Country : US
Telephone Number : 303-788-4600
Fax Number :
Provider Business Practice Location Address
First Line : 701 E HAMPDEN AVE
Second Line : SUITE 530
City : ENGLEWOOD
State : CO
Zip : 80113-2736
Country : US
Telephone Number : 303-788-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. PATRICIA KENNEDY NP” Practice Location

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