Individual provider · Type 1 NPI

Keena Chanelle Kennedy, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1336180967 Active

Practice location

2501 W Lehigh Ave
Philadelphia, PA 19132-3207

Call (215) 227-0300 Map

Fax (215) 227-0302

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA052029 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1336180967

Keena Chanelle Kennedy, PA-C's National Provider Identifier is 1336180967, issued on Jun 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.