Individual
DAVID PETER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3110 SCOTT CIR, OMAHA, NE 68112-2604
(402) 889-6161
Mailing address
100 S 19TH ST APT 809, OMAHA, NE 68102-1367
(402) 802-5488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
721
NE
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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