Individual
MS. CASSANDRA LATISHA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN REGISTERED NURSE
Contact information
Practice address
3802 OFFICER TREVOR S PHILLIPS AVE STE A, TUSCALOOSA, AL 35401-7051
(205) 722-7294
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05699
AL
163W00000X
Registered Nurse
1-091260
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801846126
GOVERNMENT
AL
Enumeration date
07/15/2022
Last updated
08/26/2025
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