Individual
MR. MICHAEL WESLEY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
181 W PROFESSIONAL PARK CT, SUITE 1, BOWLING GREEN, KY 42104-3250
(270) 843-5300
(270) 843-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-1550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003567
KY
Other
Enumeration date
03/12/2007
Last updated
05/05/2014
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