Individual
ALEXANDRA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11864 CLIFTON BLVD, LAKEWOOD, OH 44107-2027
(216) 534-2039
Mailing address
11864 CLIFTON BLVD, LAKEWOOD, OH 44107-2027
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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