Individual
ALIXANDRA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 COMMONWEALTH DR STE 310B, GREENVILLE, SC 29615-4899
(248) 212-9448
Mailing address
135 GLOUCESTER FERRY RD, GREENVILLE, SC 29607-3567
(248) 212-9448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235016
SC
363LF0000X
Family Nurse Practitioner
Primary
28057
SC
Other
Enumeration date
12/10/2021
Last updated
06/12/2024
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