Search › Pennsylvania › 164W00000X
Jaclyn Kennedy
NPI 1740564145 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3627 Zuck Rd
Erie, PA 16506 - Phone
- (814) 341-7109
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-04
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 Pennsylvania