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NPI Code Detail

MEDICARE: DR. KATHLEEN ORME KENNEDY PH.D.

MEDICARE:  DR. KATHLEEN ORME KENNEDY  PH.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
1103T00000XPsychologist1574CO

General Provider Information

NPI Number : 1619189024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN ORME KENNEDY PH.D.
Provider Business Mailing Address
First Line : 600 S CHERRY ST
Second Line : SUITE 805
City : DENVER
State : CO
Zip : 80246-1702
Country : US
Telephone Number : 303-757-1523
Fax Number : 303-757-2021
Provider Business Practice Location Address
First Line : 600 S CHERRY ST
Second Line : SUITE 805
City : DENVER
State : CO
Zip : 80246-1702
Country : US
Telephone Number : 303-757-1523
Fax Number : 303-757-2021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2007
Last Update Date : 03/06/2009

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Directions to “ DR. KATHLEEN ORME KENNEDY PH.D.” Practice Location

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