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Ms. Mary M Kennedy, RN,NP,CNM
Women's Health Nurse Practitioner in Pleasanton, California
NPI 1083608780

Mary M Kennedy is a Women's Health Nurse Practitioner based in Pleasanton, CA and is specialized in Women's Health. Mary M Kennedy practices in Pleasanton, CA and has the professional credentials of RN,NP,CNM. The NPI Number for Mary M Kennedy is 1083608780 and holds a License No. 177602 (California).

The current practice location address for Mary M Kennedy is 7601 Stoneridge Dr, Pleasanton, CA and can be reached out via phone at 925-847-5629 and via fax at 925-847-5148.

Location: 7601 Stoneridge Dr, Pleasanton, CA, 94588-4501
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Provider Profile Details
NPI Number
1083608780
Provider Name
Mary M Kennedy
Credential
RN,NP,CNM
Provider Entity Type
Individual
Gender
Female
Address
7601 Stoneridge Dr, Pleasanton, CA, 94588-4501
Phone Number
925-847-5629
Fax Number
925-847-5148
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
177602 01 CA RN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7601 Stoneridge Dr
City
State
Zip
94588-4501
Phone Number
925-847-5629
Fax Number
925-847-5148
person
Provider Business Mailing Address Details
Address
7601 Stoneridge Dr
City
State
Zip
94588-4501
Phone Number
925-847-5629
Fax Number
925-847-5148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
177602 (California)
Definition
Definition to come...
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