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Contact Information

TAMARA KENNEDY
3300 GALLOWS RD
FALLS CHURCH, VA22042-3307
 Phone: 703-776-6020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for TAMARA KENNEDY · (Female)

NPI Number 1669008827
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2020
Last updated 03/19/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0001259238
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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