Individual
COLLEEN RENEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8762
(559) 353-3000
Mailing address
629 BEMIS HEIGHTS PL, SAINT CHARLES, MO 63303-1752
(636) 697-4793
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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