Individual
MR. TIMOTHY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4225 GENESEE ST, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
Mailing address
34 BIRCHWOOD AVE APT 5, WEST SENECA, NY 14224-2132
(716) 515-8712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002084-1
NY
Other
Enumeration date
11/23/2011
Last updated
08/18/2020
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