person
Ms. Kerry Marie Kennedy, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Oakdale, Minnesota
NPI 1083949986

Kerry Marie Kennedy is a Psychiatric/Mental Health Nurse Practitioner based in Oakdale, MN and is specialized in Psychiatric/Mental Health. Kerry Marie Kennedy practices in Oakdale, MN and has the professional credentials of PMHNP. The NPI Number for Kerry Marie Kennedy is 1083949986 and holds a License No. R123669 (Minnesota).

The current practice location address for Kerry Marie Kennedy is 7066 Stillwater Blvd N, Oakdale, MN and can be reached out via phone at 612-227-3075 and via fax at 651-251-5128.

Location: 7066 Stillwater Blvd N, Oakdale, MN, 55128-3937
person
Provider Profile Details
NPI Number
1083949986
Provider Name
Kerry Marie Kennedy
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
7066 Stillwater Blvd N, Oakdale, MN, 55128-3937
Phone Number
612-227-3075
Fax Number
651-251-5128
Provider Enumeration Date
10/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500005583 01 MN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
612-227-3075
Fax Number
651-251-5128
person
Provider Business Mailing Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
612-227-3075
Fax Number
651-251-5128
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
0908 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R123669 (Minnesota)
Definition
Definition to come...
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