Individual
AMY COLLEEN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 BISMARK AVE, VENTURA, CA 93004-2439
(805) 465-8199
Mailing address
751 BISMARK AVE, VENTURA, CA 93004-2439
(805) 465-8199
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287237
CA
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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