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Organization
TINA L. KENNEDY
Active
Organization
TINA L. KENNEDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L KENNEDY (LPN)
(419) 209-9031
Entity
Organization
Contact information
Practice address
128 W BIGELOW ST, UPPER SANDSKY, OH 43351-1128
(419) 209-9031
Mailing address
128 W BIGELOW ST, UPPER SANDSKY, OH 43351-1128
(419) 209-9031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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