Individual
KATHERINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
(704) 542-0699
Mailing address
214 BUTTERFLY PL, TEGA CAY, SC 29708-0138
(315) 272-7417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038839
NY
225100000X
Physical Therapist
Primary
16014
NC
225100000X
Physical Therapist
9986
SC
Other
Enumeration date
05/18/2015
Last updated
01/21/2021
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