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Individual

JOSHUA M KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ST,XT,HCA

Contact information

Practice address
21911 76TH AVE W, SUITE 106, EDMONDS, WA 98026-7918
(425) 778-2220
(425) 778-7701
Mailing address
21911 76TH AVE W, SUITE 106, EDMONDS, WA 98026-7918
(425) 778-2220
(425) 778-7701

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
ST60168312
WA

Other

Enumeration date
01/19/2011
Last updated
01/19/2011
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