Individual
MRS. KRYSTAL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
297 INDEPENDENCE BLVD, PEMBROKE 6, SUITE 300, VIRGINIA BEACH, VA 23462
(757) 390-1736
Mailing address
297 INDEPENDENCE BLVD, PEMBROKE 6, SUITE 300, VIRGINIA BEACH, VA 23462
(757) 390-1736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906010004
VA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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