Individual
DR. ANN BLAIR KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, DRPH
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
NA
SC
225700000X
Massage Therapist
Primary
2064
SC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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