person
Criswell Allen Kennedy, MD
General Practice Physician in Liberty Lake, Washington
NPI 1912122847

Criswell Allen Kennedy is a General Practice Physician based in Liberty Lake, WA. Criswell Allen Kennedy practices in Liberty Lake, WA and has the professional credentials of MD. The NPI Number for Criswell Allen Kennedy is 1912122847 and holds a License No. MD00017804 (Washington).

The current practice location address for Criswell Allen Kennedy is 24128 E Alki Ln, Liberty Lake, WA and can be reached out via phone at 509-255-5065 and via fax at 509-477-6352.

Location: 24128 E Alki Ln, Liberty Lake, WA, 99019-9447
person
Provider Profile Details
NPI Number
1912122847
Provider Name
Criswell Allen Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24128 E Alki Ln, Liberty Lake, WA, 99019-9447
Phone Number
509-255-5065
Fax Number
509-477-6352
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24128 E Alki Ln
City
State
Zip
99019-9447
Phone Number
509-255-5065
Fax Number
509-477-6352
person
Provider Business Mailing Address Details
Address
24128 E Alki Ln
City
State
Zip
99019-9447
Phone Number
509-255-5065
Fax Number
509-477-6352
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD00017804 (Washington)
Definition
Definition to come...
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