Individual
KENNEDY HER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4871 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 709-1980
Mailing address
4855 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 390-0963
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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