Individual
MR. DANIEL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
8559 N LINE CREEK PKWY, KANSAS CITY, MO 64154-2100
(816) 468-2011
Mailing address
4104 NE SHADY LANE DR, GLADSTONE, MO 64119-5019
(785) 383-3018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702908
KS
225X00000X
Occupational Therapist
2010022884
MO
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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