Individual
JANELLE LESLIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9665 S 150 W, BROOKSTON, IN 47923-8060
(765) 430-0892
Mailing address
9665 S 150 W, BROOKSTON, IN 47923-8060
(765) 430-0892
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001384A
IN
Other
Enumeration date
11/08/2021
Last updated
11/10/2021
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