| NPI | 1265985584 |
|---|---|
| Former Name | COREY DANIELLE KENNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010532) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-09-20 |