Individual
KATHY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 KEEWAHDIN RD LOT 78, FORT GRATIOT, MI 48059-3490
(810) 388-1200
Mailing address
3345 MILITARY ST APT 111, PORT HURON, MI 48060-6682
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
03/20/2024
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