Individual
MRS. REBA SILER KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E WENDOVER AVE, GREENSBORO, NC 27401-1106
(336) 601-8954
(888) 774-5351
Mailing address
400 E WENDOVER AVE, GREENSBORO, NC 27401-1106
(336) 601-8954
(888) 774-5351
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
NC
Other
Enumeration date
03/22/2017
Last updated
01/12/2023
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