Individual
MR. KENNETH WAYNE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6933 MANHATTAN LN, CHEYENNE, WY 82009-2723
(307) 635-6493
Mailing address
6933 MANHATTAN LN, CHEYENNE, WY 82009-2723
(307) 635-6493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
678
WY
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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