Individual
KENNEDY CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 981-3176
Mailing address
1942 BUFFINGTON AVE, HUNTINGTON, WV 25703-1538
(989) 287-1145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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