NPI 1043868748
Shelby Kennedy
Practice location
- Address
- 10801 Black Bear Road, Juneau, AK 99801-8095
- Phone
- (907) 523-6701
- Mailing address
- PO Box 34856, Juneau, AK 99803-4856
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1043868748
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Aug 2019
- Record last updated
- 13 Nov 2023
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.