Individual
CHAD KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 S STANFIELD RD, TROY, OH 45373-3098
(937) 552-5598
Mailing address
601 ACADIA CT, TROY, OH 45373-5416
(937) 552-5598
(937) 553-0226
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN364934
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019438
OH
Other
Enumeration date
03/30/2016
Last updated
03/26/2025
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