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Individual

MRS. BARBARA DIANNE KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
9955 ELTON ST SW, NAVARRE, OH 44662-8731
(330) 879-5778
(330) 879-5778
Mailing address
9955 ELTON ST SW, NAVARRE, OH 44662-8731
(330) 879-5778
(330) 879-5778

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN222955
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2161173
OH
Enumeration date
10/01/2006
Last updated
07/09/2007
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