NPI 1134579469

Crystal Marie Kennedy, MBA

Practitioner Driver Chesterfield, IN

Practice location

Address: 7 Vine St, Chesterfield, IN 46017-1618
Phone: (765) 639-7604
Mailing address: 4210 S 1180 E, Hudson, IN 46747-9660

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1134579469
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2016
Record last updated: 4 Aug 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.