Provider Demographics
NPI:1992836928
Name:ARMSTRONG-KENNEDY, ANDREA M (LMP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:ARMSTRONG-KENNEDY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-1709
Mailing Address - Country:US
Mailing Address - Phone:509-230-7715
Mailing Address - Fax:509-747-9200
Practice Address - Street 1:20 W MAIN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0172
Practice Address - Country:US
Practice Address - Phone:509-230-7715
Practice Address - Fax:509-747-9200
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA13143225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist