Individual provider · Type 1 NPI

Kristal Kennedy

Student in an Organized Health Care Education/Training Program · Victor, NY

NPI number 1376978767 Active

Practice location

590 Fishers Station Dr, Suite 130
Victor, NY 14564-9744

Call (585) 924-7207 Map

Fax (585) 924-7049

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP90430 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376978767

Kristal Kennedy's National Provider Identifier is 1376978767, issued on Sep 5, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victor, NY. The record was last updated on Sep 5, 2013.