Individual
KYMBERLY JEAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 4TH ST NW, WATERTOWN, SD 57201-2332
(605) 868-1072
Mailing address
410 4TH ST NW, WATERTOWN, SD 57201-2332
(605) 868-1072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0247
SD
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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