Individual
JESSICA ANN NICOLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1928
(216) 444-2200
Mailing address
21200 BROOKPARK RD APT 317, CLEVELAND, OH 44135-3113
(216) 440-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2021
Last updated
08/28/2024
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