Ivy Kennedy
NPI #1023419751 in Fort Stewart, Georgia
Provider Information
- NPI Number
- 1023419751
- Entity Type
- Individual
- Name
- Ivy Kennedy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 12, 2014
- Last Updated
- Sep 12, 2014
Practice Location
- Address
- 1061 HARMON AVE
- City
- Fort Stewart
- State
- Georgia
- ZIP Code
- 31314-5641
- Phone
- (912) 435-8752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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