Individual
MS. KRISTA MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3510 WOODSON RD, SAINT LOUIS, MO 63114-4203
(314) 493-6430
Mailing address
315 ARLINGTON GLEN CT, FENTON, MO 63026-3973
(314) 941-4577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004024381
MO
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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