Individual
DOMINICK KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
804 COLEY DR, MOUNTAIN HOME, AR 72653-2523
(870) 424-2224
(870) 424-0493
Mailing address
804 COLEY DR, MOUNTAIN HOME, AR 72653-2523
(870) 424-2224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4848
AR
Other
Enumeration date
03/19/2024
Last updated
06/18/2025
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