NPI 1114323417

Tonja Kennedy

Practitioner Radiologic Technologist Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-6362
Mailing address: 2463 Dd Durrence Rd, Glennville, GA 30427-8212

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X

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Registry record

NPI: 1114323417
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2014
Record last updated: 13 Nov 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.