Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. COLLEEN MARIE KENNEDY, PA-C
ActivePhysician Assistant · CRESTVIEW HILLS, KY
Registration Details
- NPI Number
- 1154302388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2005 (20.471926348825 yrs)
- Last Updated
- Feb 16, 2015
- Licenses
-
PA9101536 (FL)PA1114 (KY)PA1114 (KY)
Practice Information
- Address
-
425 CENTRE VIEW BLVDCRESTVIEW HILLS, KY, 410173409Browse KY providers · Browse ZIP 41017
- Phone
- 8593413575
- Fax
- 8593415702
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CRESTVIEW HILLS, KY
| Name | Credential | NPI |
|---|---|---|
| STACEY L SHADIX | PA-C | 1316015910 |
| RACHELL L BROOKS | PA | 1396954798 |
| MRS. MELISSA BLAIR WHITAKER | PA-C | 1790940146 |
| MRS. EMILY NICHOLE BRAY | PA-C | 1477703858 |
| MRS. KELLY KATHLEEN FAILLO | PA-C | 1760798052 |
| MRS. JESSICA MARIE GARDNER | PA-C | 1497042113 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.