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Joanna Ruth Kennedy
Family Nurse Practitioner in Midvale, Utah
NPI 1871031708

Joanna Ruth Kennedy is a Family Nurse Practitioner based in Midvale, UT and is specialized in Family. Joanna Ruth Kennedy practices in Midvale, UT. The NPI Number for Joanna Ruth Kennedy is 1871031708 and holds a License No. 73008658900 (Utah).

The current practice location address for Joanna Ruth Kennedy is 602 E Fort Union Blvd, Midvale, UT and can be reached out via phone at 801-313-1010.

Location: 602 E Fort Union Blvd, Midvale, UT, 84047-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871031708
Provider Name
Joanna Ruth Kennedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
602 E Fort Union Blvd, Midvale, UT, 84047-2216
Phone Number
801-313-1010
Fax Number
Provider Enumeration Date
02/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
602 E Fort Union Blvd
City
Midvale
State
Utah
Zip
84047-2216
Phone Number
801-313-1010
Fax Number
person
Provider Business Mailing Address Details
Address
602 E Fort Union Blvd
City
Midvale
State
Utah
Zip
84047-2216
Phone Number
801-313-1010
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
73008658900 (Utah)
Definition
Definition to come...
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