Kennedy, Tazena

Kennedy, Tazena is an sole proprietor health care provider with primary practice located at 330 Ivy St , Jacksonville FL 32206-6350. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kennedy, Tazena can be contacted via phone (904) 307-6844.

Contact Information

Primary practice address
330 Ivy St Jacksonville FL 32206-6350
Phone: (904) 307-6844
Fax: (904) 924-1174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629144712
LBN Legal business name Kennedy, Tazena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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