MRS. Melisssa Ann Kennedy, BA, MS

NPI #1952662058 in Medford, New York

Provider Information

NPI Number: 1952662058
Entity Type: Individual
Name: MRS. Melisssa Ann Kennedy, BA, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: BA, MS
Enumeration Date: Jun 5, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 28B CEDAR AVE
City: Medford
State: New York
ZIP Code: 11763-3545
Phone: (631) 790-4012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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