Individual
MS. JACQUELINE ELAINE KENNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7500 BROOKFIELD RD, COLUMBIA, SC 29223-2206
(803) 699-2800
(803) 419-0294
Mailing address
7500 BROOKFIELD RD, COLUMBIA, SC 29223-2206
(803) 699-2800
(803) 419-0294
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R66767
SC
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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