Individual
MOLLY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
324 SOUTH BAYLEY HAZEN RD, RYEGATE, VT 05042
(802) 584-4679
Mailing address
3644 MACK MTN RD, WEST DANVILLE, VT 05873-9748
(802) 563-2185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0121842
VT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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