| NPI | 1740703164 |
|---|---|
| Other Name | TREY KENNEDY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 57.252247) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: KY 1057269) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-04-19 |