Individual
MISTY NICOLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
442 E FRENCHMANS BEND RD, MONROE, LA 71203-8852
(318) 503-9789
Mailing address
2712 CROW FARM RD, MARION, LA 71260-4129
(318) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
307751
LA
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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