Individual
MICHAEL P KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
230 S 500 E STE 150, SLC, UT 84102-2058
(801) 595-1700
Mailing address
230 S 500 E STE 150, SLC, UT 84102-2058
(801) 595-1700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
285548-2401
UT
Other
Enumeration date
01/05/2007
Last updated
10/24/2007
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