Tanner Michael Kennedy

NPI #1659832822 in Granite Falls, Washington

Provider Information

NPI Number: 1659832822
Entity Type: Individual
Name: Tanner Michael Kennedy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 17807 CROOKED MILE RD APT 7
City: Granite Falls
State: Washington
ZIP Code: 98252-8742
Phone: (425) 598-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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