Deric Duane Kennedy
Deric Duane Kennedy is a Case Manager/Care Coordinator in Waldorf, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2630 Homecoming LnWaldorf, MD 20603-5313
Phone: (240) 412-4041
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1649031196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 22, 2024 |
| Mailing address | 2630 Homecoming Ln, Waldorf, MD 20603-5313 |
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