Philicia Kennedy CPNP

NPI 1003058249 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1003058249
Gender Female
Enumeration Date 04/02/2009
Last Updated 04/02/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3399 ASHFORD PASS
ELLENWOOD GA, 30294-3693, US
Phone (678) 705-7456
Fax
Business Location
3399 ASHFORD PASS
ELLENWOOD GA, 30294-3693, US
Phone (678) 705-7456
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Georgia
License Number RN164975 NP
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According to our database, Ms. Philicia Kennedy CPNP NPI is 1003058249, taxonomy code is 363LP0200X and license number is RN164975 NP, license state is located at Georgia. Philicia Kennedy CPNP physically located at 3399 Ashford Pass, Ellenwood GA, 30294-3693. NPI Number Philicia Kennedy CPNP has the Individual type.

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1003058249 NPI number is provided on an as is basis without warranty of any kind. 1003058249 is maintained by the National Plan & Provider Enumeration System. The contents of Philicia Kennedy CPNP are for informational purposes only.