Individual
SHAYE LEIGH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 CASCADE DR, POWELL, OH 43065-9732
(614) 323-5070
Mailing address
4510 CASCADE DR, POWELL, OH 43065-9732
(614) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102530
—
OH
Enumeration date
05/01/2007
Last updated
07/09/2007
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