Individual
KAILIN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 SE 8TH AVE, PORTLAND, OR 97214-3537
(503) 239-5125
(503) 821-6351
Mailing address
1416 SE 8TH AVE, PORTLAND, OR 97214-3537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19126
OR
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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