Individual
JACY L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1207 N JEFFERSON ST STE 1, OTTUMWA, IA 52501-2021
(641) 682-5437
(641) 682-1628
Mailing address
1207 N JEFFERSON ST STE 1, OTTUMWA, IA 52501-2021
(641) 682-5437
(641) 682-1628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A155098
IA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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