Individual provider · Type 1 NPI

Marly Kennedy, PMHNP

Psychiatric/Mental Health Nurse Practitioner · North Bend, OR

NPI number 1801097183 Active

Practice location

1975 Mcpherson St, Suite 2
North Bend, OR 97459-3482

Fax (541) 756-8982

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X200450131NP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1801097183

Marly Kennedy, PMHNP's National Provider Identifier is 1801097183, issued on May 31, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in North Bend, OR. The record was last updated on Dec 28, 2018.