Individual provider · Type 1 NPI

Kennedy Christine Stafford, DO, MS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1942052352 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1942052352

Kennedy Christine Stafford, DO, MS's National Provider Identifier is 1942052352, issued on Apr 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 2, 2024.