CHARLES M KENNEDY

DALLAS, OR
NPI1730320805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  97-04-91)
Enumeration Date2009-03-18
Last Update Date2009-03-18
Business Address
Mr. CHARLES M KENNEDY NCAC II
171 SW COURT ST
DALLAS, OR 97338-3112
Phone number: 503-831-1423
Mailing Address
Mr. CHARLES M KENNEDY NCAC II
171 SW COURT ST
DALLAS, OR 97338-3112
Phone number: 503-831-1423