Individual
KENNEDI GOGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1096
(330) 759-0802
Mailing address
172 GLUCK ST, YOUNGSTOWN, OH 44505-4941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155788
IA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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