Individual provider · Type 1 NPI

Sara Ellen Kennedy, RNC

Women's Health Nurse Practitioner · Lackland A F B, TX

NPI number 1235196304 Active

Practice location

2200 Bergquist Dr, Attn: Credentials (cms)
Lackland A F B, TX 78236-9908

Fax (210) 292-6158

Mailing address

11830 Brandon Oaks
San Antonio, TX 78253-5816

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X566098 (TX)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1235196304

Sara Ellen Kennedy, RNC's National Provider Identifier is 1235196304, issued on May 1, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 13, 2026.