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Individual

KELLI JEAN KENSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-3015
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 783-3015

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7488
ID

Other

Enumeration date
02/10/2025
Last updated
02/10/2025
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