Individual
DR. KENNEDY POPLAWSKI GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
90 E USTICK RD STE 150, MERIDIAN, ID 83646-6134
(208) 895-0715
(208) 895-0746
Mailing address
90 E USTICK RD STE 150, MERIDIAN, ID 83646-6134
(208) 895-0715
(208) 895-0746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
299461
CA
225100000X
Physical Therapist
Primary
7973
ID
Other
Enumeration date
11/09/2020
Last updated
11/29/2022
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