MR. Owen C Kennedy

NPI #1598126294 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1598126294
Entity Type: Individual
Name: MR. Owen C Kennedy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 9, 2016
Last Updated: Mar 7, 2024

Practice Location

Address: 1807 N CENTER ST
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-1001
Phone: (920) 887-8751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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