Individual
JENNEH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3835 120TH LN NW, COON RAPIDS, MN 55433-1675
(612) 802-1817
Mailing address
3835 120TH LN NW, COON RAPIDS, MN 55433-1675
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
412287
MN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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