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Individual

PATRICK KENNELLY

Active
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Individual

PATRICK KENNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
20227
MD
225100000X
Physical Therapist
Primary
20227
MD
225100000X
Physical Therapist
PT872589
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452-0007
CAREFIRST
DC
01
—
AW650001
CAREFIRST
DC
Enumeration date
09/15/2006
Last updated
01/09/2025
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