Individual
EVAN MATTHEW KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3864 SWEETEN CREEK RD, ARDEN, NC 28704
(828) 681-0904
Mailing address
32 SOUTHCHASE DR, FLETCHER, NC 28732-9259
(828) 216-4598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14418
NC
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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