Individual
MRS. SHANNA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT II
Contact information
Practice address
1779 BROAD WINGED HAWK DR, RUSKIN, FL 33570-4957
(813) 618-7765
Mailing address
17813 TROPICAL COVE DR, TAMPA, FL 33647-3671
(813) 618-7765
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0325R11
MD
Other
Enumeration date
08/09/2021
Last updated
07/15/2022
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