Individual
ANDRIA KAY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W 4TH ST, MCPHERSON, KS 67460-2300
(620) 241-4201
(620) 241-4210
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402381
KS
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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