NPI 1467272013

Jackie L Kennedy, BACHELORSLPN

Practitioner Licensed Practical Nurse Twin Falls, ID

Practice location

Address: 479 Polk St # B4, Twin Falls, ID 83301-4850
Phone: (208) 339-1756
Fax: (855) 461-7240

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 10114 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1467272013
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2024
Record last updated: 16 Oct 2024

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.