Individual
KAREN ANNE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 NE 339TH ST, LA CENTER, WA 98629-2853
(360) 728-9099
Mailing address
10015 NE 339TH ST, LA CENTER, WA 98629-2853
(360) 728-9099
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU00001800
WA
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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