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Individual

MRS. LYNDA KENNEPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CWS-LANA

Contact information

Practice address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 772-7648
Mailing address
4800 CANAL PL, CONWAY, AR 72034-7536
(501) 358-2675

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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