Individual
DR. CAITLIN ANNE KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
880 KINNEAR RD, COLUMBUS, OH 43212-1443
(614) 285-7757
Mailing address
1411 BONNIE RIDGE RD, COLUMBUS, OH 43228-3704
(614) 285-7757
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
016476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016476
LICENSE NUMBER
OH
Enumeration date
07/15/2021
Last updated
08/16/2021
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