IndividualActive
Andra Kennedy, PA
NPI 1083674097 · Physician Assistant · Johnston, IA
Provider details
- NPI number
- 1083674097
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 648 (IA)
Practice location
5900 Nw 86th St
Suite 100
Johnston, IA 50131-2284
Phone: (515) 276-6133
Fax: (515) 334-7356
Mailing address
5900 Nw 86th St
Johnston, IA 50131-2284
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2007-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.