Individual
PRECIOUS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 OWINGS ST, WEIRTON, WV 26062-2442
(412) 401-5068
Mailing address
230 OWINGS ST, WEIRTON, WV 26062-2442
(412) 401-5068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
217404
WV
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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