Individual
MATTHEW DAVIS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3200 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2910
(314) 977-1250
Mailing address
3200 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2910
(314) 977-1250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010041904
MO
225100000X
Physical Therapist
8419
AZ
Other
Enumeration date
04/02/2009
Last updated
07/21/2022
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