Individual
KATHERINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Mailing address
1965 S ALMA SCHOOL RD, STE 5, CHANDLER, AZ 85286-7081
(480) 782-5211
(480) 782-5213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7712
AZ
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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