Individual
ERIC KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 LIDDLE LN, HASTINGS, MN 55033-8580
(651) 387-8647
Mailing address
1403 LIDDLE LN, HASTINGS, MN 55033-8580
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1112834
MN
253J00000X
Foster Care Agency
1113281
MN
Other
Enumeration date
02/24/2022
Last updated
10/25/2022
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