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Individual

JAMIE KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1343 N FOUNTAIN BLVD STE 250, SPRINGFIELD, OH 45504-1479
(937) 523-9050
Mailing address
6545 STATE ROUTE 201, TIPP CITY, OH 45371-8799
(937) 663-0138

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021877
OH

Other

Enumeration date
10/30/2017
Last updated
12/15/2017
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