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Individual
MS. CASSANDRA LATISHA KENNEDY
Active
Individual
MS. CASSANDRA LATISHA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05699
AL
163W00000X
Registered Nurse
1-091260
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801846126
GOVERNMENT
AL
Enumeration date
07/15/2022
Last updated
08/26/2025
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