Most Relevant Information
Provider Data
| NPI Number: | 1003247776 |
| Provider Name: | JESSICA J KENYON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704278471 |
Most Important Dates
| Enumeration Date: | 12/06/2013 |
| Last Updated: | 12/06/2013 |
Provider Practice Location
1420 PLAZA DR
PETOSKEY
MI
497709420
Practice Location Phone/Fax
| Phone: | 2313483096 |
| Fax: | 2313483470 |
Provider Mailing Location
1420 PLAZA DR
PETOSKEY
MI
497709420
Provider Mailing Phone/Fax
| Phone: | 2313483096 |
| Fax: | 2313483470 |