Individual
NICOLE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3380
Mailing address
12371 SUMMIT ST, KANSAS CITY, MO 64145-1175
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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