MS. MARY CAROL PATRICIA KENNEDY MSN RN CS CCDP-D NPI 1063674026

NPI Information

  • NPI: 1063674026
  • Provider Name: MS. MARY CAROL PATRICIA KENNEDY, MSN RN CS CCDP-D
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 723 BRADDOCK AVE
    TCV
    BRADDOCK, PA
    ZIP 15104
  • Phone: (412) 824-8510

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NPI Details

MS. Mary Carol Patricia Kennedy, MSN RN CS CCDP-D is a psychiatric/mental health registered nurse in Braddock, PA. MS. Mary Carol Patricia Kennedy, MSN RN CS CCDP-D NPI is 1063674026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

723 BRADDOCK AVE
TCV
BRADDOCK, PA
ZIP 15104-849
Phone: (412) 824-8510
Fax: (412) 824-0179

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthRN158452LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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