Individual
CASSIDY KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
6413 SAVANNA WAY, HOLT, MI 48842-8692
(517) 442-8084
Mailing address
6413 SAVANNA WAY, HOLT, MI 48842-8692
(517) 442-8084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704348840
MI
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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