Individual
KRISTEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
235 W WESTERN AVE, AVONDALE, AZ 85323-1848
(602) 230-7373
(602) 257-8029
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-053367
AZ
Other
Enumeration date
04/18/2022
Last updated
12/14/2023
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