Individual
JOSHUA DOUGLAS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P1 60159931
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 353-9046
Mailing address
109 CARRIAGE CT, KELSO, WA 98626-1891
(360) 423-3582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60159931
WA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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