Individual
KENNEDY LOUELLA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-8992
Mailing address
5115 JUDGE CARDEN BLVD, CRESTWOOD, KY 40014-7814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008672
KY
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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