Individual
KENT KENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 MEADOWLARK LN, STE 104, KANSAS CITY, KS 66102-1260
(913) 287-9303
Mailing address
23508 W 73RD TER, SHAWNEE, KS 66227-5509
(850) 235-2758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-00843
LICENSE#
KS
Enumeration date
08/30/2006
Last updated
07/08/2007
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