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Contact Information

LISA Q KENNEDY
6781 PARKER FARM DR
WILMINGTON, NC28405-3160
 Phone: 910-763-6332
 Fax: 910-763-6267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for LISA Q KENNEDY · (Female)

NPI Number 1780512673
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2026
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 314894
Hospital affiliation(s) Not Available
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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