DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEIA C KENNEDY, PAC

Active

KEIA C KENNEDY, PAC is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1164600292 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1164600292
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2008 (18.515443001588 yrs)
Last Updated
Jan 22, 2013
License
MA051988 (PA)

Practice Information

Address
3400 SPRUCE ST
PHILADELPHIA, PA, 191044206
Browse PA providers · Browse ZIP 19104
Phone
2156627355
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
MR. JOSEPH D. NORRIS PA-C 1346247905
ROBERT W ROTHROCK PA-C 1508866377
MS. RITA A FOUST PA-C 1114906757
MR. GIUSEPPE ANTONIO SCRENCI MS, PA-C 1427020643
BRYAN DENNIS BOOTH PA-C 1548235179
MR. PAUL HOWELL ROLSTON M.M.SC., P.A.-C 1710953203
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.