Individual
KENYON B ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15965 NE 85TH ST FL 2, REDMOND, WA 98052-3531
(425) 867-0740
(425) 867-0750
Mailing address
15965 NE 85TH ST FL 2, REDMOND, WA 98052-3531
(425) 867-0740
(425) 867-0750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000758
WA
Other
Enumeration date
06/03/2006
Last updated
09/25/2008
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