Individual
ANTWANETTE M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1543 BROWNLEE AVE, YOUNGSTOWN, OH 44514-1011
(330) 559-2101
Mailing address
1543 BROWNLEE AVE, YOUNGSTOWN, OH 44514-1011
(330) 559-2101
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602806370824
OH
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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