Individual
TIFFANY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3248 EDGELAND HWY, RICHBURG, SC 29729-9478
(803) 789-6111
(803) 789-6118
Mailing address
2139 BROOKFIELD LN, LANCASTER, SC 29720-8872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19284
SC
Other
Enumeration date
01/28/2015
Last updated
03/17/2018
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