NPI 1023419751

Ivy Kennedy

Practitioner Licensed Practical Nurse Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-8752

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN079468 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1023419751
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2014
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.