Individual
BRAD ALLEN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
645 OSAGE ST, SIDNEY, NE 69162-1714
(308) 254-5355
Mailing address
118 VIRGINIA LN, SIDNEY, NE 69162-2626
(308) 254-6222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1839
NE
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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