Individual
KIRA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MEADOWOOD ST, GREENSBORO, NC 27409-2838
(336) 560-7067
Mailing address
596 EAGLE RD APT 1F, GREENSBORO, NC 27407-5295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12406
NC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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