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Charles Kennedy

NPI 1740927193 · on the registry since 2022

Practice

Address
1007 Moyer St
Cheney, WA 99004
Phone
(509) 263-4314

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-17

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 Washington