Individual provider · Type 1 NPI
Mary M. Kennedy, R.N., N.P., C.N.M.
Women's Health Nurse Practitioner · Pleasanton, CA
NPI number
1083608780
Active
Practice location
7601 Stoneridge Dr, The Permanente Medical Group
Pleasanton, CA 94588-4501
Fax (925) 847-5148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 177602 (CA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1083608780
Mary M. Kennedy, R.N., N.P., C.N.M.'s National Provider Identifier is 1083608780, issued on Sep 8, 2005. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Pleasanton, CA. The record was last updated on Jul 8, 2007.