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Individual

JESSE MICHAEL KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
102 COLLEGE ST, GLENVILLE, WV 26351-1110
(304) 266-0113
Mailing address
102 COLLEGE ST, GLENVILLE, WV 26351-1110

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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