Andra R Kennedy PA

NPI 1083674097 - Physician Assistant - 363A00000X

NPI Details
NPI 1083674097
Gender Female
Enumeration Date 03/24/2006
Last Updated 10/16/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5900 NW 86TH ST
SUITE 100
JOHNSTON IA, 50131-2284, US
Phone (515) 276-6133
Fax (515) 334-7356
Business Location
5900 NW 86TH ST
SUITE 100
JOHNSTON IA, 50131-2284, US
Phone (515) 276-6133
Fax (515) 334-7356
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 648
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According to our database, Andra R Kennedy PA NPI is 1083674097, taxonomy code is 363A00000X and license number is 648, license state is located at Iowa. Andra R Kennedy PA physically located at 5900 Nw 86th St, Johnston IA, 50131-2284. NPI Number Andra R Kennedy PA has the Individual type.

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1083674097 NPI number is provided on an as is basis without warranty of any kind. 1083674097 is maintained by the National Plan & Provider Enumeration System. The contents of Andra R Kennedy PA are for informational purposes only.