JOHNATHAN KENNEDY

BROOKINGS, OR
NPI1235654872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-04
Last Update Date2017-08-04
Business Address
JOHNATHAN KENNEDY
615 5TH ST
BROOKINGS, OR 97415-9199
Phone number: 541-813-2535
Mailing Address
JOHNATHAN KENNEDY
PO BOX 810
GOLD BEACH, OR 97444-0810
Phone number: