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Individual

MS. KIMBERLY AYLENE KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. A.

Contact information

Practice address
1065 VINEHAVEN DR, CONCORD, NC 28025-2439
(704) 286-9181
Mailing address
PO BOX 1886, CONCORD, NC 28026-6007
(704) 436-6762

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1829
NC

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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