Individual provider · Type 1 NPI

Kelly Kennealy

Student in an Organized Health Care Education/Training Program · Ferguson, MO

NPI number 1730554411 Active

Practice location

217 Catherine Ave
Ferguson, MO 63135-2705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730554411

Kelly Kennealy's National Provider Identifier is 1730554411, issued on Dec 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ferguson, MO. The record was last updated on Dec 7, 2015.