Individual
KAITLYN ELISABETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3435 LIVERNOIS RD, TROY, MI 48083-5063
(248) 353-1234
(248) 353-1211
Mailing address
54398 RIDGEVIEW DR, SHELBY TOWNSHIP, MI 48316-1307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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