Kennedy Mykel Emerson

NPI #1124619044 in Aberdeen, Washington

Provider Information

NPI Number
1124619044
Entity Type
Individual
Name
Kennedy Mykel Emerson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Feb 2, 2021
Last Updated
Feb 2, 2021

Practice Location

Address
224 E WISHKAH ST
ZIP Code
98520-6513
Phone
(360) 532-9050

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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