Individual
BRANDON KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 S HUDSON ST, SEATTLE, WA 98134-2417
(510) 317-1445
Mailing address
210 S HUDSON ST, SEATTLE, WA 98134-2417
(510) 317-1445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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