Trisha Lynn Kennedy
Nurse's Aide in Eagle Butte, SD. Individual provider (NPI-1).
NPI number1831782341
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1831782341
- Entity type
- Individual (NPI-1)
- Name
- Trisha Lynn Kennedy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2021
- Certification date
- Jan 27, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
24276 166th Airport RoadEagle Butte, SD 57625
Phone 605-964-7724
Mailing address
Po Box 1723Eagle Butte, SD 57625-1723
Phone 605-200-9111
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All 13 Nurse's Aide providers in Eagle Butte · All 196 providers in Eagle Butte
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