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Individual
ZACHARY LEE KENNEDY
Active
Individual
ZACHARY LEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10012
TN
225100000X
Physical Therapist
CP058100T
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012
TN P.T. LICENSE
TN
01
—
CP058100T
MS LICENSE
MS
Enumeration date
06/26/2014
Last updated
06/01/2026
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