| Organization Name: | KAREN E KENNEDY MD PA |
| NPI Number: | 1033145560 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN E KENNEDY (PRESIDENT) |
| Mailing Address: | 1118 Gulf Breeze Pkwy Ste. 201 Gulf Breeze |
| State: | FL US |
| Postal Code: | 325617800 |
| Phone Number: | 8509167766 |
| Fax Number: | 8509165144 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME75325 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |