Individual
JACOB PAUL KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
315 N WASHINGTON STREET PO BOX 368, VIBORG, SD 57070-0368
(712) 574-4995
(605) 326-1159
Mailing address
703 LAKESHORE DR, NORTH SIOUX CITY, SD 57049-4137
(712) 574-4995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6073
SD
Other
Enumeration date
06/27/2024
Last updated
02/12/2026
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