Mary Carol Patricia Kennedy, MSN RN CS CCDP-D
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Braddock, PA
NPI 1063674026 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1063674026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- RN158452L (PA)
- Practice address
- 723 Braddock Ave
TCV
Braddock, PA 15104-1849 - Phone
- (412) 824-8510
- Fax
- (412) 824-0179
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN158452L | PA | Yes |
Addresses
Primary practice location
723 Braddock Ave
TCV
Braddock, PA 15104-1849
Mailing address
519 Penn Ave
TCV
Turtle Creek, PA 15145-2082
Phone (412) 824-8510
Other providers in Braddock, PA
- Julie Huerbin
- Daniesha Hunter-Rue
- Anne Jennings
- Marcedis Jones-Strawder
- Thomas Mark Kelly
- Michelle Lynne Leddon
- Lee Lexa
- Qamara Luff
- Matthew Macdonald
- Jobie Mack
All providers in Braddock, PA · Psychiatric/Mental Health Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.