Tara Kennedy
NPI #1225790298 in Wellford, South Carolina
Provider Information
- NPI Number
- 1225790298
- Entity Type
- Individual
- Name
- Tara Kennedy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 7, 2021
- Last Updated
- Oct 7, 2021
Practice Location
- Address
- 130 COURTESY LN
- City
- Wellford
- State
- South Carolina
- ZIP Code
- 29385-9490
- Phone
- (864) 541-4859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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