Individual
MS. ALAYNA PATRECE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN M-IV
Contact information
Practice address
15622 EDGEWOOD AVE, MAPLE HEIGHTS, OH 44137-3910
(216) 931-6072
Mailing address
15622 EDGEWOOD AVE, MAPLE HEIGHTS, OH 44137-3910
(216) 931-6072
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102232
—
OH
Enumeration date
03/17/2014
Last updated
08/07/2014
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