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Individual
STEPHANIE ANN KENNEDY
Active
Individual
STEPHANIE ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017110
KY
363L00000X
Nurse Practitioner
71012111A
IN
363LF0000X
Family Nurse Practitioner
0029132
OH
Other
Enumeration date
06/24/2021
Last updated
04/03/2025
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