Individual
TAMIKA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
872 W ORANGE AVE, TALLAHASSEE, FL 32310-6123
(850) 300-7262
Mailing address
1034 DOVER ST, TALLAHASSEE, FL 32304-2341
(850) 766-6929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5168258
FL
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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