Search › Arizona › 251S00000X
Tiffany Kennedy
NPI 1033684162 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10142 W Watkins St
Tolleson, AZ 85353 - Phone
- (773) 627-1792
- Organisation at this address
- The Irie Place Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona