Doctor Name: | MR. DANIEL O'NEILL KENNEDY |
NPI Number: | 1447326590 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 560769 |
Business Practice Address: | 1432 Sultan Drive, Suite 100 Fort Detrick, MD - 217025001 |
Business Phone Number: | 3016194062 |
Business Fax Number: | 3016194480 |
Mailing Address: | 10408 Farmview Ct, NEW MARKET |
State: | MD |
Postal Code: | 217746909 |
Phone Number: | 3016194062 |
Fax Number: | 3016194480 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 560769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |