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Individual

KATERRELL LEON KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 TENNESSEE WAY, HENDERSONVILLE, TN 37075-3160
(629) 255-0339
Mailing address
402 DUNCAN ST, FRANKLIN, KY 42134-1628
(270) 954-2060

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/14/2014
Last updated
12/23/2024
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