Individual
MARCIA ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 S. MAIN ST, BOILING SPRINGS, NC 28017
(704) 406-3583
(704) 406-3595
Mailing address
P.O BOX 877, BOILING SPRING, NC 28017
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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