Individual
NICOLE MELLISA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CHPNA
Contact information
Practice address
1331 S WALKER RD, MUSKEGON, MI 49442-4553
(231) 525-2299
Mailing address
1331 S WALKER RD, MUSKEGON, MI 49442-4553
(231) 525-2299
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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