Individual
DR. ALLEN LLOYD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
555 EAST BROADWAY, SUITE 100, JACKSON, WY 83001
(307) 739-1864
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 516-1204
(208) 516-1204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-1721
WY
225100000X
Physical Therapist
Primary
PT-9240
ID
Other
Enumeration date
07/28/2017
Last updated
05/28/2024
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