Individual
DELILAH JOY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
(541) 682-3276
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-CRM-049
ACCBO
OR
Enumeration date
10/17/2014
Last updated
05/24/2016
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