Individual
JENNIFER KENEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVENUE, ALOHA, OR 97007
(503) 619-1916
Mailing address
4585 SW 185TH AVENUE, ALOHA, OR 97007
(503) 619-1916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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