Individual
KATHLEEN RUTH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
131 ELIZABETH AVE, BELVEDERE, SC 29841-2422
(803) 278-1592
(803) 442-6276
Mailing address
131 ELIZABETH AVE, BELVEDERE, SC 29841-2422
(803) 278-1592
(803) 442-6276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
177
SC
225X00000X
Occupational Therapist
Primary
OT000230
GA
Other
Enumeration date
08/15/2010
Last updated
10/04/2010
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