Individual
KYLE MICHALE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1987 STATE ST, EAST PETERSBURG, PA 17520-1324
(717) 723-8040
Mailing address
1987 STATE ST, EAST PETERSBURG, PA 17520-1324
(717) 723-8040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132181
PA
1041C0700X
Clinical Social Worker
Primary
CW027261
PA
Other
Enumeration date
07/22/2016
Last updated
04/22/2026
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