Jackie L Kennedy, BACHELORS, LPN
NPI #1467272013 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1467272013
- Entity Type
- Individual
- Name
- Jackie L Kennedy, BACHELORS, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- BACHELORS, LPN
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 479 POLK ST # B4
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4850
- Phone
- (208) 339-1756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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