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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANILE SUSAN KENNEDY, LICENSED NURSE

Active Sole Proprietor

JANILE SUSAN KENNEDY, LICENSED NURSE is a Clinic/Center healthcare provider located in EVANSTON, Wyoming. NPI 1477931269 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · EVANSTON, WY

Registration Details

NPI Number
1477931269
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2015 (11.07183244803 yrs)
Last Updated
May 12, 2015
Licenses
4838 (WY)
190032638 A (WY)
Sole Proprietor
Yes

Practice Information

Address
108 YELLOW CREEK RD
EVANSTON, WY, 829305234
Browse WY providers · Browse ZIP 82930
Phone
3077892652
Fax
3077896227
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center
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.