Search › Florida › 171100000X
Kristen Kennerley, A.P
NPI 1265664668 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1413 S Patrick Dr
Suite 4
Indian Harbour Beach, FL 32937 - Phone
- (321) 960-6959
- Fax
- (321) 622-8919
- Organisation at this address
- Counseling Center Of Brevard, Llc
Jade Palms Health & Healing Center, PaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida