Individual
STEPHANIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2856 TIPTOP RD, NORTH TAZEWELL, VA 24630-9319
(541) 727-2457
Mailing address
2856 TIPTOP RD, NORTH TAZEWELL, VA 24630-9319
(541) 727-2457
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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