Kelli Dawn Kennedy LMSW

NPI 1700080876 - Social Worker - 1041C0700X

NPI Details
NPI 1700080876
Gender Female
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4505 E 47TH ST S
WICHITA KS, 67210-1651, US
Phone (316) 529-9100
Fax
Business Location
900 W BROADWAY ST
NEWTON KS, 67114-2037, US
Phone (316) 283-1950
Fax (316) 283-9540
Toxanomy
Taxonomy Code 1041C0700X
License State Kansas
License Number LMSW 4540
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According to our database, Kelli Dawn Kennedy LMSW NPI is 1700080876, taxonomy code is 1041C0700X and license number is LMSW 4540, license state is located at Kansas. Kelli Dawn Kennedy LMSW physically located at 4505 E 47th St S, Wichita KS, 67210-1651. NPI Number Kelli Dawn Kennedy LMSW has the Individual type.

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1700080876 NPI number is provided on an as is basis without warranty of any kind. 1700080876 is maintained by the National Plan & Provider Enumeration System. The contents of Kelli Dawn Kennedy LMSW are for informational purposes only.