Provider Demographics
NPI:1669529939
Name:KENNEDY, ERIN J (MD, MPH)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:J
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:J
Other - Last Name:BENDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7024 NORDIC DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6309
Mailing Address - Country:US
Mailing Address - Phone:319-266-3127
Mailing Address - Fax:319-266-5756
Practice Address - Street 1:7024 NORDIC DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6309
Practice Address - Country:US
Practice Address - Phone:319-266-3127
Practice Address - Fax:319-266-5756
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI55152-202083X0100X
IA376312083X0100X
IL361405392083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine