Individual
GEORGE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 LOWES, CUNNINGHAM, KY 42035
(270) 674-5654
Mailing address
2050 LOWES, CUNNINGHAM, KY 42035
(270) 674-5654
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
10/16/2013
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