Individual provider · Type 1 NPI

Kathleen Dacuk Rose Kennedy, CNP

Nurse Practitioner · Lynchburg, VA

NPI number 1396754362 Active

Practice location

1701 Thomson Dr
Lynchburg, VA 24501-1118

Fax (434) 200-7400

Mailing address

PO Box 3017
Lynchburg, VA 24503-0017

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001096751 (VA)
Nurse Practitioner Primary 363L00000X0024096751 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396754362

Kathleen Dacuk Rose Kennedy, CNP's National Provider Identifier is 1396754362, issued on Aug 7, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lynchburg, VA. The record was last updated on Jan 26, 2016.