Individual
JERI LYN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
839 N PERRY AVE, WICHITA, KS 67203-3139
(316) 512-1786
Mailing address
839 N PERRY AVE, WICHITA, KS 67203-3139
(316) 512-1786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1869
KS
1041C0700X
Clinical Social Worker
2022041935
MO
Other
Enumeration date
11/03/2010
Last updated
10/24/2022
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