Individual provider · Type 1 NPI
Kerry Marie Kennedy, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Oakdale, MN
NPI number
1083949986
Active
Practice location
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Fax (651) 251-5128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R123669 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0908 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083949986
Kerry Marie Kennedy, PMHNP's National Provider Identifier is 1083949986, issued on Oct 9, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oakdale, MN. The record was last updated on Jan 26, 2022.