Tina L. Kennedy
Home Health in Upper Sandsky, OH. Organization (NPI-2).
NPI number1265749865
StatusActive
Last updated in NPPESSep 3, 2010
Details
- NPI
- 1265749865
- Entity type
- Organization (NPI-2)
- Legal business name
- Tina L. Kennedy
- Organization subpart
- No
- Enumeration date
- Sep 3, 2010
- Last updated
- Sep 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
128 W Bigelow StUpper Sandsky, OH 43351-1128
Phone 419-209-9031
Mailing address
128 W Bigelow StUpper Sandsky, OH 43351-1128
Phone 419-209-9031
Authorized official
Tina L Kennedy
Lpn
4192099031
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