Individual
MRS. JESSICA RENEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS OF ED, IECE
Contact information
Practice address
1065 GREENWAY DR, ELIZABETHTOWN, KY 42701-9005
(270) 559-9638
Mailing address
1065 GREENWAY DR, ELIZABETHTOWN, KY 42701-9005
(270) 559-9638
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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