Deric Duane Kennedy

NPI #1649031196 in Waldorf, Maryland

Provider Information

NPI Number
1649031196
Entity Type
Individual
Name
Deric Duane Kennedy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 22, 2024
Last Updated
Jan 22, 2024

Practice Location

Address
2630 HOMECOMING LN
ZIP Code
20603-5313
Phone
(240) 412-4041

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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