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Individual
PAOLA JETZABELLA KENNAH
Active
Individual
PAOLA JETZABELLA KENNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117136
FL
363AM0700X
Medical Physician Assistant
139211
AK
363AM0700X
Medical Physician Assistant
PA9117136
FL
Other
Enumeration date
05/11/2017
Last updated
07/27/2023
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