| Doctor Name: | MARYLEE KENNEDY |
| NPI Number: | 1114275211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN155505 |
| Business Practice Address: | 20863 E Saddle Way Queen Creek, AZ - 851426506 |
| Business Phone Number: | 4808557096 |
| Business Fax Number: | |
| Mailing Address: | 20863 E Saddle Way, QUEEN CREEK |
| State: | AZ |
| Postal Code: | 851426506 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2012 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN155505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |