Criswell Allen Kennedy, M.D.

NPI #1912122847 in Liberty Lake, Washington

Provider Information

NPI Number: 1912122847
Entity Type: Individual
Name: Criswell Allen Kennedy, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Apr 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24128 E ALKI LN
City: Liberty Lake
State: Washington
ZIP Code: 99019-9447
Phone: (509) 255-5065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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