Most Relevant Information
Provider Data
| NPI Number: | 1003370826 |
| Provider Name: | JENNIFER KENNEDY RN, IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | 822141 |
Most Important Dates
| Enumeration Date: | 01/25/2019 |
| Last Updated: | 01/25/2019 |
Provider Practice Location
2104 KAYDEN JAY DR
BOSSIER CITY
LA
711125036
Practice Location Phone/Fax
| Phone: | 9032457158 |
| Fax: |
Provider Mailing Location
2104 KAYDEN JAY DR
BOSSIER CITY
LA
711125036
Provider Mailing Phone/Fax
| Phone: | 9032457158 |
| Fax: |