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Contact Information

KRISTY R KENNEDY, MD
1101 S COLLEGE RD
SUITE 202
LAFAYETTE, LA70503-3038
 Phone: 337-235-6886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KRISTY R KENNEDY · (Female)

NPI Number 1609091875
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2007
Last updated 07/26/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD.204714
Hospital affiliation(s)
  • LAFAYETTE GENERAL MEDICAL CENTER - (Acute Care)
    1214 COOLIDGE AVENUE
    LAFAYETTE, LA 70503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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