Tiarra Kennedy, MD

NPI 1083434997 · on the registry since 2024 · sole proprietor

Practice

Address: 1829 Reisterstown Rd
Pikesville, MD 21208
Phone: (443) 704-6777
Organisation at this address: Vista Wellness
Vista Wellness
Ablecare Mobilty Llc
Blue Aba Maryland Llc
Able Minds Aba Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 108

Registry record

Primary taxonomy: 176B00000X
176B00000X
Also registered as: 101YP2500X
103TC1900X
1041C0700X
106H00000X
171000000X
171M00000X
173000000X
374J00000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland