| Doctor Name: | MRS. CATHY LYNN KENNEDY |
| NPI Number: | 1043260268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCNS |
| License Number: | PPNS00047 |
| Business Practice Address: | 2756 Post Rd Warwick, RI - 028863003 |
| Business Phone Number: | 4016916000 |
| Business Fax Number: | 4017387718 |
| Mailing Address: | 200 Boulder View Dr, WARWICK |
| State: | RI |
| Postal Code: | 028866800 |
| Phone Number: | 4019212348 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | PPNS00047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |