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1730139098
JAN MARIE KENNEDY
DECATUR, AL
NPI
1730139098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1076407)
Enumeration Date
2006-05-10
Last Update Date
2010-08-17
Business Address
-- JAN MARIE KENNEDY CRNP
1813 BELTLINE RD SW
DECATUR, AL 35601-5506
Phone number: 256-353-6874
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Mailing Address
-- JAN MARIE KENNEDY CRNP
PO BOX 5689 1813 BELTLINE RD SW
DECATUR, AL 35601-0689
Phone number: 256-353-6874
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