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Individual

DR. JENNIFER DAWN KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
7697 CHARLOTTE HWY, INDIAN LAND, SC 29707-9653
(803) 396-1525
Mailing address
7697 CHARLOTTE HWY, INDIAN LAND, SC 29707-9653
(803) 396-1525

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209234
VA
183500000X
Pharmacist
Primary
14017
SC
183500000X
Pharmacist
22817
NC

Other

Enumeration date
01/14/2013
Last updated
07/30/2013
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