Individual
JILLIAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 CEDAR ST, ROCKLEDGE, FL 32955-3133
(321) 722-5200
Mailing address
400 SHERIDAN RD, MELBOURNE, FL 32901-3122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/21/2016
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