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Joshua Kennedy, P1 60159931

NPI 1487991428 · on the registry since 2013 · sole proprietor

Practice

Address
1500 3rd Ave
Longview, WA 98632
Phone
(360) 353-9046
Organisation at this address
Frontier Snf Operations, Llc
Evergreen Washington Healthcare Frontier, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-10

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 Washington