Kelly Kennealy

NPI #1730554411 in Ferguson, Missouri

Provider Information

NPI Number: 1730554411
Entity Type: Individual
Name: Kelly Kennealy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 7, 2015
Last Updated: Dec 7, 2015

Practice Location

Address: 217 CATHERINE AVE
City: Ferguson
State: Missouri
ZIP Code: 63135-2705
Phone: (314) 650-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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