Individual
LEAH LASHAUN KENNERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 KIRBY LN N, RYE, NY 10580-4208
(917) 891-0176
Mailing address
726 CRANFORD AVE # 2, BRONX, NY 10470-1307
(917) 891-0176
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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