Individual
JILL KILKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
227 NORTHLAND CT NE, CEDAR RAPIDS, IA 52402-6226
(319) 377-0937
(319) 377-0948
Mailing address
227 NORTHLAND CT NE, CEDAR RAPIDS, IA 52402-6226
(319) 377-0937
(319) 377-0948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03148
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
05
—
2204667
—
IA
Enumeration date
10/03/2006
Last updated
02/28/2023
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