Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRISWELL ALLEN KENNEDY, M.D.
Active Sole ProprietorCRISWELL ALLEN KENNEDY, M.D. is a General Practice healthcare provider located in LIBERTY LAKE, Washington. NPI 1912122847 is currently active in the NPPES registry. Verify at CMS.
General Practice · LIBERTY LAKE, WA
Registration Details
- NPI Number
- 1912122847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.349420488507 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00017804 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24128 E ALKI LNLIBERTY LAKE, WA, 990199447Browse WA providers · Browse ZIP 99019
- Phone
- 5092555065
- Fax
- 5094776352
- Primary Specialty
-
General Practice
208D00000X
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.