Individual
AMANDA JILL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50024 ROBINSON WEST CIR, AMORY, MS 38821-8624
(662) 790-3700
(662) 257-0267
Mailing address
50024 ROBINSON WEST CIR, AMORY, MS 38821-8624
(662) 790-3700
(662) 257-0267
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
904484
MS
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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