Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Marie Kennedy, CCLS

Individual provider Specialist · NPI 1063190270

Elizabeth Marie Kennedy, CCLS is a Specialist in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

41714 Gawthorpe Ln
Leesburg, VA 20176-5850
Phone: (412) 979-7953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 24887 (VA)

Record details

NPI number1063190270
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCLS
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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