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1295490548
TIMOTHY JOSEPH KENNEDY
MOUNT VERNON, OH
NPI
1295490548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
TIMOTHY JOSEPH KENNEDY
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-397-0442
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Mailing Address
TIMOTHY JOSEPH KENNEDY
8839 COLUMBUS RD APT A
MOUNT VERNON, OH 43050-4403
Phone number: 740-501-2606
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