Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1144693441 |
---|---|
Provider Name | Jennifer Kennedy |
First Address | Hilliard, OH 43026-8402 |
Second Address | Hilliard, OH 43026-8402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2015 |
Last Update Date | 15/10/2018 |