Individual
ERIKA MARICELA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 4TH ST, CHASKA, MN 55318-2102
(952) 361-1344
Mailing address
600 E 4TH ST, CHASKA, MN 55318-2102
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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