Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101252105 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101252105 | VA |
NPI | 1407078694 |
---|---|
Provider Name | Jamie L. Kennedy |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 20/04/2021 |