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Keia C Kennedy, PAC
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1164600292

Keia C Kennedy is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Keia C Kennedy practices in Philadelphia, PA and has the professional credentials of PAC. The NPI Number for Keia C Kennedy is 1164600292 and holds a License No. MA051988 (Pennsylvania).

The current practice location address for Keia C Kennedy is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-7355.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164600292
Provider Name
Keia C Kennedy
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-662-7355
Fax Number
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
215-662-7355
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
215-662-7355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA051988 (Pennsylvania)
Definition
Definition to come...
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