Individual
KATELYN ELIZABETH KENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9760 N ASH AVE, KANSAS CITY, MO 64157-9742
(816) 792-0803
(816) 407-6400
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06305
KS
225100000X
Physical Therapist
Primary
2019037873
MO
Other
Enumeration date
09/24/2019
Last updated
10/02/2019
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