Individual
JEFFREY ROBERT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1604 1ST ST S, WILLMAR, MN 56201-4243
(320) 231-5000
Mailing address
1604 1ST ST S, WILLMAR, MN 56201-4243
(320) 231-5000
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
MN
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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