Individual
JENNIFER LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CENTRAL AVE, RAVENNA, OH 44266-2201
(330) 968-5301
Mailing address
125 E CENTRAL AVE, RAVENNA, OH 44266-2201
(330) 968-5301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169558
—
OH
Enumeration date
08/17/2016
Last updated
08/17/2016
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