Individual provider · Type 1 NPI
Anne Maria Kennedy, MBBCH
Body Imaging Physician · Salt Lake City, UT
NPI number
1740377795
Active
Practice location
50 N Medical Dr, 1A71
Salt Lake City, UT 84132-0001
Mailing address
PO Box 581200
Salt Lake City, UT 84158-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 188021-1205 (UT) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1740377795
Anne Maria Kennedy, MBBCH's National Provider Identifier is 1740377795, issued on Oct 9, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 3, 2021.