Individual
KENNETH LEON KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 SW 4TH ST, CORVALLIS, OR 97333-4429
(541) 971-3411
Mailing address
535 SW 4TH ST, CORVALLIS, OR 97333-4429
(541) 971-3411
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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