Individual
MR. FREDRICK FRANK KENNADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
55930 BLUE EAGLE RD, BEND, OR 97707-2369
(541) 640-2518
(541) 550-2919
Mailing address
55930 BLUE EAGLE RD, BEND, OR 97707-2369
(541) 640-2518
(541) 550-2919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200743327RN
OR
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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