Individual
MR. KENTON A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14910 MAIN ST, ALACHUA, FL 32615-8591
(386) 462-0940
Mailing address
717 NW 29TH PL, GAINESVILLE, FL 32609-2962
(352) 271-5612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21967
FL
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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