Individual
CAROL VERNICE KENNERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT,RRT,BS,MSM
Contact information
Practice address
4315 APPLEWOOD LN, MATTESON, IL 60443-1906
(708) 296-0614
Mailing address
4315 APPLEWOOD LN, MATTESON, IL 60443-1906
(708) 296-0614
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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