Individual
MR. PATRICK B KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2852 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5016
(573) 335-2086
(573) 335-2398
Mailing address
605 ALBERT ST, CAPE GIRARDEAU, MO 63703-6505
(573) 335-2086
(573) 335-2398
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117802
MO
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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