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Individual

BRENDA L KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1951 RIDERWOOD DR, BUTLER, AL 36904-3564
(205) 459-7655
(205) 459-7128
Mailing address
1951 RIDERWOOD DR, BUTLER, AL 36904-3564
(205) 459-7655
(205) 459-7128

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTH2262
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH2262
PHYSICAL THERAPIST
AL
Enumeration date
09/15/2006
Last updated
07/08/2007
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