Individual
KENNEDY ELAINE VERCHEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(859) 663-1717
Mailing address
519 RAYMOND ST, NASHVILLE, TN 37211-2831
(859) 663-1717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258410
TN
363L00000X
Nurse Practitioner
Primary
AAPRN.CPN.0038252
OH
Other
Enumeration date
11/17/2022
Last updated
01/06/2025
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