Individual
DESIREE ELAINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2862 E HIGH ST, SPRINGFIELD, OH 45505-1437
(937) 561-0168
Mailing address
2862 E HIGH ST, SPRINGFIELD, OH 45505-1437
(937) 561-0168
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
TT199605
OH
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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