Kelly Kennedy OTR

NPI 1174647689 - Occupational Therapist - 225X00000X

NPI Details
NPI 1174647689
Gender Female
Enumeration Date 03/19/2007
Last Updated 09/06/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
N4901 DAM RD
DELAVAN WI, 53115-2927, US
Phone (262) 740-2170
Fax
Business Location
W9623 WALWORTH WOODS RD
DELAVAN WI, 53115-2438, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Vermont
License Number 0720000540
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According to our database, Mrs. Kelly Kennedy OTR NPI is 1174647689, taxonomy code is 225X00000X and license number is 0720000540, license state is located at Vermont. Kelly Kennedy OTR physically located at N4901 Dam Rd, Delavan WI, 53115-2927. NPI Number Kelly Kennedy OTR has the Individual type.

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1174647689 NPI number is provided on an as is basis without warranty of any kind. 1174647689 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Kennedy OTR are for informational purposes only.