| Doctor Name: | MS. MARY CAROL PATRICIA KENNEDY |
| NPI Number: | 1063674026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN RN CS CCDP-D |
| License Number: | RN158452L |
| Business Practice Address: | 723 Braddock Ave Tcv Braddock, PA - 151041849 |
| Business Phone Number: | 4128248510 |
| Business Fax Number: | 4128240179 |
| Mailing Address: | 519 Penn Ave, Tcv TURTLE CREEK |
| State: | PA |
| Postal Code: | 151452082 |
| Phone Number: | 4128248510 |
| Fax Number: | 4128240179 |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN158452L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |