| Jackie L Kennedy, BACHELORS, LPN | |
|
479 Polk St # B4, Twin Falls, ID 83301-4850 | |
| (208) 339-1756 | |
| (855) 461-7240 |
| Full Name | Jackie L Kennedy |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 479 Polk St # B4, Twin Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467272013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 10114 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie L Kennedy, BACHELORS, LPN 479 Polk St # B4, Twin Falls, ID 83301-4850 Ph: (208) 339-1756 | Jackie L Kennedy, BACHELORS, LPN 479 Polk St # B4, Twin Falls, ID 83301-4850 Ph: (208) 339-1756 |
Mary Mavencamp, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 Fax: 208-732-7480 | |
Amber J Somers, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 | |
Jacob Manuel Hernandez, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 | |
Virginia Gambrel, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 | |
Heather J Fivecoat, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 | |
Jana Kay Juker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0959 Fax: 208-732-7480 |