Individual
BRIAN JOSEPH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 SIERRA VISTA DR, APT #225, LAS VEGAS, NV 89169-9384
(858) 386-3435
Mailing address
825 SIERRA VISTA DR, APT #225, LAS VEGAS, NV 89169-9384
(858) 386-3435
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1604166640
NV
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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