Individual
ROBERT P KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
4555 LINCOLN HWY, MATTESON, IL 60443-2318
(708) 283-0021
(708) 283-0831
Mailing address
140 E OAK HILL RD, PORTER, IN 46304-1300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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