Individual
KRISTEN CHARMAINE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
446 SW PARRAMORE AVE, MADISON, FL 32340-1870
(850) 597-3495
Mailing address
PO BOX 5102, TALLAHASSEE, FL 32314-5102
(850) 597-3495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9526806
FL
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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