Kert R Kennedy, LCSW Valid NPI

Individual provider · Clinical Social Worker · Muskogee, OK

NPI

1760663041

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

Sex

Male

Sole proprietor

Yes

Enumerated

2007-11-15

Last updated

2019-06-11