Individual provider · Type 1 NPI
Crystal Marie Kennedy, MBA
Driver · Chesterfield, IN
NPI number
1134579469
Active
Practice location
7 Vine St
Chesterfield, IN 46017-1618
Mailing address
4210 S 1180 E
Hudson, IN 46747-9660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1134579469
Crystal Marie Kennedy, MBA's National Provider Identifier is 1134579469, issued on Jun 17, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chesterfield, IN. The record was last updated on Aug 4, 2021.