Ms. Mary M Kennedy
Nurse Practitioner - Women's Health
7601 Stoneridge Dr The Permanente Medical Group
Pleasanton
, California 94588-4501
Ms. Mary M Kennedy
Nurse Practitioner - Women's Health
7601 Stoneridge Dr The Permanente Medical Group
Pleasanton
, California 94588-4501
(925) 847-5148
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Mary M Kennedy
- 7601 Stoneridge Dr The Permanente Medical Group
- Pleasanton, CA
- Zip : 94588-4501
- Fax : (925) 847-5148
- Phone : (925) 847-5629
Second Address
- Ms. Mary M Kennedy
- 7601 Stoneridge Dr The Permanente Medical Group
- Pleasanton, CA
- Zip : 94588-4501
- Fax : (925) 847-5148
- Phone : (925) 847-5629
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 177602 | CA |
National Provider Identifier
| NPI | 1083608780 |
|---|---|
| Provider Name | Ms. Mary M Kennedy |
| First Address | Pleasanton, CA 94588-4501 |
| Second Address | Pleasanton, CA 94588-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 177602 | RN LICENSE NUMBER (01) | CA |
| P16645 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.