Individual
SHERRY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 N MARKET ST, SHREVEPORT, LA 71107-6537
(318) 626-5597
(318) 626-5691
Mailing address
1500 N MARKET ST, SHREVEPORT, LA 71107-6537
(318) 626-5597
(318) 626-5691
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN136632
LA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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