Most Relevant Information
Provider Data
| NPI Number: | 1003691072 |
| Provider Name: | SAMANTHA KENNEDY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 02/24/2024 |
Provider Practice Location
5151 PARK AVE
MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAM
FAIRFIELD
CT
06825
Practice Location Phone/Fax
| Phone: | 2039899237 |
| Fax: |
Provider Mailing Location
5151 PARK AVENUE
MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAM
FAIRFIELD
CT
06825
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |