Provider Demographics
NPI:1447326590
Name:KENNEDY, DANIEL O'NEILL (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:O'NEILL
Last Name:KENNEDY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10408 FARMVIEW CT
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6909
Mailing Address - Country:US
Mailing Address - Phone:301-619-4062
Mailing Address - Fax:301-619-4480
Practice Address - Street 1:1432 SULTAN DRIVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:FORT DETRICK
Practice Address - State:MD
Practice Address - Zip Code:21702-5001
Practice Address - Country:US
Practice Address - Phone:301-619-4062
Practice Address - Fax:301-619-4480
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX560769163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical