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Organization
KEKA SERVICES, INC
Active
Organization
KEKA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY NDAMBA DPT (PHYSICAL THERAPIST)
(978) 390-6996
Entity
Organization
Contact information
Practice address
1242 RIVER ST, HYDE PARK, MA 02136-2833
(978) 390-6996
(617) 272-3952
Mailing address
1242 RIVER ST, HYDE PARK, MA 02136-2833
(978) 390-6996
(617) 272-3952
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
NULL
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518430651
—
MA
Enumeration date
04/28/2023
Last updated
04/28/2023
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