Individual
MR. KURTIS L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MSL
Contact information
Practice address
27 SHELDON AVE, LATHAM, NY 12110-4419
(518) 772-9759
Mailing address
27 SHELDON AVE, LATHAM, NY 12110-4419
(518) 772-9759
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
846628262
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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