Individual
JENECA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
23013 ALMOND AVE, EASTPOINTE, MI 48021-1904
(210) 845-9332
Mailing address
23013 ALMOND AVE, EASTPOINTE, MI 48021-1904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126163
MI
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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