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Individual

MRS. AMY MARIE KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
680 MCKINLEY PKWY, BUFFALO, NY 14220-1522
(716) 826-7119
Mailing address
680 MCKINLEY PKWY, BUFFALO, NY 14220-1522
(716) 826-7119

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2138341
NY

Other

Enumeration date
10/14/2009
Last updated
10/14/2009
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