Individual
MS. SANDRA LEE KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
209 W CRISER RD, SUITE 100, FRONT ROYAL, VA 22630-2360
(540) 636-2931
(540) 636-2933
Mailing address
209 W CRISER RD, SUITE 100, FRONT ROYAL, VA 22630-2360
(540) 636-2931
(540) 636-2933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002015892
VA
Other
Enumeration date
10/19/2011
Last updated
10/20/2011
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