Individual
AMY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 326-2878
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
240731
KY
Other
Enumeration date
02/19/2018
Last updated
03/06/2018
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