Individual
MRS. LYNDA KENNEPP
Active
Individual
MRS. LYNDA KENNEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CWS-LANA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2836
AR
225100000X
Physical Therapist
PT286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y511
BCBS
AR
Enumeration date
05/25/2006
Last updated
04/13/2011
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