Individual provider · Type 1 NPI
Joanna Ruth Kennedy
Family Nurse Practitioner · Midvale, UT
NPI number
1871031708
Active
Practice location
602 E Fort Union Blvd
Midvale, UT 84047-2216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 73008658900 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871031708
Joanna Ruth Kennedy's National Provider Identifier is 1871031708, issued on Feb 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midvale, UT. The record was last updated on Feb 12, 2017.