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Individual

KENNEDY N BOARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1504 PRESTON AVE, AKRON, OH 44305-4128
(234) 294-9229
Mailing address
PO BOX 910 LOT 1026, COLUMBUS, OH 43216
(234) 294-9229

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/06/2020
Last updated
08/06/2020
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