Provider Demographics
NPI:1598022782
Name:KENNEDY, RHIANNON MELISSA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:MELISSA
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:RHIANNON
Other - Middle Name:
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2309 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-6345
Mailing Address - Country:US
Mailing Address - Phone:850-747-5272
Mailing Address - Fax:850-767-3455
Practice Address - Street 1:2309 E 15TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-6345
Practice Address - Country:US
Practice Address - Phone:850-747-5272
Practice Address - Fax:850-767-3455
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9262412363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner