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Individual

ERIC KENNEDY

Active
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Individual

ERIC KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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