Individual
MS. THERESA MAE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1958 BALKAN PL, TOLEDO, OH 43613-5002
(419) 936-0084
Mailing address
1958 BALKAN PL, TOLEDO, OH 43613-5002
(419) 936-0084
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LPN.174205
OH
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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