Individual
TINA MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S DUPONT HWY APT 18A, NEW CASTLE, DE 19720-5129
(267) 975-0661
Mailing address
550 S DUPONT HWY APT 18A, NEW CASTLE, DE 19720-5129
(267) 975-0661
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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