# KENNA JOAN AULT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700930203
- **Gender:** F
- **Credential:** MOT, OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 00375 | MO | Yes |
| 225X00000X | Occupational Therapist | 17-0119 | KS | — |
| 225X00000X | Occupational Therapist | 857 | OK | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/09/2008