Individual
CHARLES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 MOYER ST, CHENEY, WA 99004-1357
(509) 263-4314
Mailing address
1007 MOYER ST, CHENEY, WA 99004-1357
(509) 263-4314
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HMCC.HM.60910542
WA
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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