Jennifer Nicole Kennedy D.O.

NPI 1609089143 - General Practice - 208D00000X

NPI Details
NPI 1609089143
Gender Female
Enumeration Date 05/08/2007
Last Updated 01/13/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
BLDG 1058 BARKLEY RD
DIRAIMONDO WEST - AVIATION MEDICINE CLINIC
FORT CARSON CO, 80913, US
Phone (719) 526-5499
Fax
Business Location
1650 COCHRANE CIR BLDG 7505
FORT CARSON CO, 80913-4613, US
Phone (719) 526-9500
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Nebraska
License Number 554
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According to our database, Dr. Jennifer Nicole Kennedy D.O. NPI is 1609089143, taxonomy code is 208D00000X and license number is 554, license state is located at Nebraska. Jennifer Nicole Kennedy D.O. physically located at Bldg 1058 Barkley Rd, Fort Carson CO, 80913. NPI Number Jennifer Nicole Kennedy D.O. has the Individual type.

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1609089143 NPI number is provided on an as is basis without warranty of any kind. 1609089143 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Nicole Kennedy D.O. are for informational purposes only.