Most Relevant Information
Provider Data
| NPI Number: | 1003286071 |
| Provider Name: | KENNETH KENNEDY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2015 |
| Last Updated: | 10/02/2015 |
Provider Practice Location
201 22ND ST
ASHLAND
KY
411017803
Practice Location Phone/Fax
| Phone: | 6063241141 |
| Fax: |
Provider Mailing Location
201 22ND ST
ASHLAND
KY
411017803
Provider Mailing Phone/Fax
| Phone: | 6063241141 |
| Fax: |