MEDICARE: DR. PATRICIA KENNEDY ARRINGTON DVM

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
1	174M00000X	Veterinarian	NS723	KY

General Provider Information

NPI Number	:	1902241771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA KENNEDY ARRINGTON DVM

Provider Business Mailing Address
First Line	:	4504 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-3857
Country	:	US
Telephone Number	:	502-966-4104
Fax Number	:	502-966-3904

Provider Business Practice Location Address
First Line	:	4504 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-3857
Country	:	US
Telephone Number	:	502-966-4104
Fax Number	:	502-966-3904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	05/06/2013

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