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Dr. Katherine Edithe Kennedy, DPM
Foot & Ankle Surgery Podiatrist in Phoenix, Arizona
NPI 1316290893

Katherine Edithe Kennedy is a Foot & Ankle Surgery Podiatrist based in Phoenix, AZ and is specialized in Foot & Ankle Surgery. Katherine Edithe Kennedy practices in Phoenix, AZ and has the professional credentials of DPM. The NPI Number for Katherine Edithe Kennedy is 1316290893 and holds a License No. 135.000790 (Arizona).

The current practice location address for Katherine Edithe Kennedy is 1728 W Glendale Ave Ste 100, Phoenix, AZ and can be reached out via phone at 480-812-3668 and via fax at 480-782-1290.

Location: 1728 W Glendale Ave Ste 100, Phoenix, AZ, 85021-8862
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Provider Profile Details
NPI Number
1316290893
Provider Name
Katherine Edithe Kennedy
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1728 W Glendale Ave Ste 100, Phoenix, AZ, 85021-8862
Phone Number
480-812-3668
Fax Number
480-782-1290
Provider Enumeration Date
10/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z179475 05 AZ
institution
Provider Business Practice Location Address Details
Address
1728 W Glendale Ave Ste 100
City
State
Zip
85021-8862
Phone Number
480-812-3668
Fax Number
480-782-1290
person
Provider Business Mailing Address Details
Address
1728 W Glendale Ave Ste 100
City
State
Zip
85021-8862
Phone Number
480-812-3668
Fax Number
480-782-1290
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
135.000790 (Illinois)
Definition
Definition to come...
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