Individual
WAYNE D KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 503, FORT TOTTEN, ND 58335-0503
(701) 230-0077
Mailing address
PO BOX 503, FORT TOTTEN, ND 58335-0503
(701) 230-0077
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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