NPI 1154302388

Colleen Marie Kennedy, PAC

Practitioner Physician Assistant Crestview Hills, KY

Practice location

Address: 425 Centre View Blvd, Crestview Hills, KY 41017-3409
Phone: (859) 341-3575
Fax: (859) 341-5702

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1114 (KY)

Other Physician Assistant providers in Kentucky →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101536 (FL)

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA1114 (KY)

Registry record

NPI: 1154302388
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2005
Record last updated: 16 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.