Individual
AMBER LEE KENNEY
Active
Individual
AMBER LEE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA175
MEDICARE PTAN
FL
01
—
P00382647
MEDICARE RAILROAD
FL
Enumeration date
08/15/2006
Last updated
10/31/2007
Update your record
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