SearchWashington208D00000X

Criswell Kennedy, M.D

NPI 1912122847 · on the registry since 2007 · sole proprietor

Practice

Address
24128 E Alki Ln
Liberty Lake, WA 99019
Phone
(509) 255-5065
Fax
(509) 477-6352

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington