| Ms Cassandra Latisha Kennedy, RN REGISTERED NURSE | |
|
3802 Officer Trevor S Phillips Ave Ste A, Tuscaloosa, AL 35401-7051 | |
| (205) 722-7294 | |
| Not Available |
| Full Name | Ms Cassandra Latisha Kennedy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3802 Officer Trevor S Phillips Ave Ste A, Tuscaloosa, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477287241 | NPI | - | NPPES |
| 1801846126 | Other | AL | GOVERNMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-091260 (Alabama) | Secondary |
| 101YM0800X | Counselor - Mental Health | ALC05699 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cassandra Latisha Kennedy, RN REGISTERED NURSE 3701 Loop Rd, Tuscaloosa, AL 35404-5015 Ph: (205) 554-2000 | Ms Cassandra Latisha Kennedy, RN REGISTERED NURSE 3802 Officer Trevor S Phillips Ave Ste A, Tuscaloosa, AL 35401-7051 Ph: (205) 722-7294 |