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Brad Kennedy, LMP — NPI 1356628630, Vancouver, WA | NPI Central

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NPI 1356628630

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Brad Kennedy, LMP

NPI 1356628630 · Contractor · Vancouver, WA

Provider details

NPI number: 1356628630
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LMP
Sex: Male
Sole proprietor: Yes
License: MA60188011 (WA)

Specialties & taxonomies

ContractorPrimary171W00000XLicense MA60188011 (WA)
Other Service Providers

Practice location

2402 Broadway St

Vancouver, WA 98663-3229

Phone: (360) 241-6630

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

13502 Se Harold St

Portland, OR 97236-4149

Registry dates

Enumerated: 2011-11-15
Last updated: 2011-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.