Doctor Name: | RHONDA I. KENNEDY |
NPI Number: | 1528486172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 3009621 |
Business Practice Address: | 70 Old Hickory Blvd Old Hickory, TN - 371383159 |
Business Phone Number: | 6158477105 |
Business Fax Number: | 6158477519 |
Mailing Address: | 601 Benton Ave, NASHVILLE |
State: | TN |
Postal Code: | 372042303 |
Phone Number: | 6152929770 |
Fax Number: | 6152929706 |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3009621 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |