Individual
MARKISHA KIAHNNA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CHW
Contact information
Practice address
195 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4319
Mailing address
3612 W 18TH AVE APT 6, EUGENE, OR 97402-2928
(541) 731-1343
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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