Individual
CASSIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PEACE AVE, LEBANON, TN 37087-8626
(615) 598-3717
Mailing address
200 PEACE AVE, LEBANON, TN 37087-8626
(615) 598-3717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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