Doctor Name: | MRS. DAWNA MARIE KENNEDY |
NPI Number: | 1578714010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | NP-10242 |
Business Practice Address: | 606 Buttermilk Pike Crescent Springs, KY - 410171302 |
Business Phone Number: | 8596631442 |
Business Fax Number: | 8593440062 |
Mailing Address: | 1577 Goodman Ave # A, CINCINNATI |
State: | OH |
Postal Code: | 452241044 |
Phone Number: | 5132420695 |
Fax Number: | 5137913871 |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-10242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |