Individual
SHAUN PATRICK KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 428-3232
Mailing address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 428-3232
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
16-1564
AZ
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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