Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA KENNEDY
Active Sole ProprietorTARA KENNEDY is a Licensed Practical Nurse healthcare provider located in WELLFORD, South Carolina. NPI 1225790298 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WELLFORD, SC
Registration Details
- NPI Number
- 1225790298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2021 (4.8490820826777 yrs)
- Last Updated
- Oct 7, 2021
- License
-
41724 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 COURTESY LNWELLFORD, SC, 293859490Browse SC providers · Browse ZIP 29385
- Phone
- 8645414859
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.