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Individual

KEVIN GERARD KENNY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO61281243

Contact information

Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-1320
Mailing address
1321 N ASH ST, SPOKANE, WA 99201-2803

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61281243
WA

Other

Enumeration date
09/21/2022
Last updated
10/18/2022
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