Individual
WILLIAM H KENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
901 ADAMS ST, AFTON, WY 83110-9621
(307) 885-7878
Mailing address
PO BOX 1619, AFTON, WY 83110-1619
(307) 885-7878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-893LP
WY
Other
Enumeration date
06/13/2011
Last updated
10/23/2013
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