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Individual

DR. ANN BLAIR KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, DRPH

Contact information

Practice address
60 PRESIDENTS DR, GRAY COURT, SC 29645-6887
(864) 923-4456
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-8374

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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