Provider Information for 1649571183
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. LISA A KENNEDY LCSW
Sex: Female
NPI: 1649571183
Last Updated: 2022-07-19
Certification Date: 2022-07-19
Certification Date: 2022-07-19
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649571183 | ||||||||||||||||
| Enumeration Date | 2010-11-16 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1090 ARNOLD DR LITTLE ROCK AFB, AR 72099-4933 United States Phone: 501-987-7377 | Fax:501-987-8852 | ||||||||||||||||
| Primary Practice Address | 1090 ARNOLD DR LITTLE ROCK AFB, AR 72099-4933 United States Phone: 501-987-7377 | Fax:501-987-8852 | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|