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Individual
JAMIE L KENNEDY
Active
Individual
JAMIE L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28274522C
IN
163WH0200X
Home Health Registered Nurse
Primary
28274522C
IN
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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