Individual
JANINE MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9058 OLD LEE HWY, OOLTEWAH, TN 37363-5631
(423) 531-9110
(423) 476-5887
Mailing address
9058 OLD LEE HWY, OOLTEWAH, TN 37363-5631
(423) 531-9110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5741
TN
Other
Enumeration date
07/07/2011
Last updated
04/02/2025
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