COURTNEY JOY KENNISON CPNP-PC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1982077251- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP-PC
- Status
- Active
Contact & Location
- Address
- 734 ELM ST SW, ALBANY, OR, 973211934
- Phone
- (541) 812-5111
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OR #201508511NP-PP
All Addresses
MAILING
PO BOX 1189
CORVALLIS, OR, 973391189