Hannah Camille Kennedy, PA-C
Physician Assistant, Medical in Gainesville, FL. Individual provider (NPI-1).
NPI number1497320162
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1497320162
- Entity type
- Individual (NPI-1)
- Name
- Hannah Camille Kennedy
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2021
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9114734 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | FL |
Other names
- Hannah Camille Rasmussen (Former Name)
Practice location
1600 Sw Archer RdGainesville, FL 32610-6549
Phone 352-273-8656
Mailing address
Po Box 100226Gainesville, FL 32610-0226
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