Individual provider · NPI-1
Rachel Kennedy, NP
Nurse Practitioner, Family · St. George, UT
NPI number1144797523
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1144797523
- Entity type
- Individual (NPI-1)
- Name
- Rachel Kennedy
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2018
- Certification date
- Feb 15, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 72929964405 | UT | Yes |
Practice location
2891 E Mall Drive, Ste 101St. George, UT 84790-8479
Phone 435-656-2424 · Fax 435-656-2828
Mailing address
Po Box 912042St George, UT 84791-2042
Phone 435-656-2424 · Fax 435-656-2828
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