| Pg Kennedy Consulting Llc | |
|
6607 18th Ave S Ste 101 Richfield MN 55423-2784 | |
| (651) 447-9402 | |
| Not Available |
| Full Name | Pg Kennedy Consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6607 18th Ave S Ste 101, Richfield, Minnesota |
| Authorized Official Name and Position | Patrick Kennedy (OWNER) |
| Authorized Official Contact | 6514917451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pg Kennedy Consulting Llc 6607 18th Ave S Ste 101 Richfield MN 55423-2784 Ph: () - | Pg Kennedy Consulting Llc 6607 18th Ave S Ste 101 Richfield MN 55423-2784 Ph: (651) 447-9402 |
| NPI Number | 1982415451 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982415451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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