NPI 1124619044

Kennedy Mykel Emerson

Practitioner Peer Specialist Aberdeen, WA

Practice location

Address: 224 E Wishkah St, Aberdeen, WA 98520-6513
Phone: (360) 532-9050

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1124619044
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 2 Feb 2021

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.