Individual
MS. JILLIAN ALISHA KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PR
Contact information
Practice address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 677-7392
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 677-7392
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-9182
WV
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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