Individual
KENDYL PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
825 PEARL AVE, JOPLIN, MO 64801
(417) 625-5200
Mailing address
409 HICKORY PL, CARL JUNCTION, MO 64834-9531
(417) 437-4428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024016984
MO
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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