Individual
AMANDA FAYE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 CONCERTO CT, APEX, NC 27539-3615
(919) 363-7585
Mailing address
309 ARRUNDALE DR, CARY, NC 27511-4409
(919) 388-3366
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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