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

Secret Angel Kennedy

Individual provider Licensed Practical Nurse · NPI 1396675286

Secret Angel Kennedy is a Licensed Practical Nurse in Watertown, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 354217 (NY)

Record details

NPI number1396675286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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