Individual
AIDEN L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8442
Mailing address
P.O. BOX 284, SITKA, AK 99835
(907) 966-8442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN144980
GA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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