Michael Steven Kennelly, CRNP

NPI #1508573353 in Du Bois, Pennsylvania

Provider Information

NPI Number: 1508573353
Entity Type: Individual
Name: Michael Steven Kennelly, CRNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Cardiovascular Disease
Credential: CRNP
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 145 HOSPITAL AVE STE 113
City: Du Bois
State: Pennsylvania
ZIP Code: 15801-1463
Phone: (814) 375-3015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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Organizations

Provider Name	Specialty	City
Dubois Regional Cardiology Associates LLC	Internal Medicine - Cardiovascular Disease	Du Bois	AI Deep Dive

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