Individual
MRS. MELISSA KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 WURTLAND AVE, WURTLAND, KY 41144-1445
(606) 836-0931
Mailing address
148 CAMELOT CT, RUSSELL, KY 41169-1624
(740) 357-5408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3507
KY
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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