Individual
MRS. DANA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 VALLEY HIDEAWAY DR, HAYESVILLE, NC 28904-9674
(828) 389-9941
Mailing address
816 ALLE PL, PINOPOLIS, SC 29469-5059
(843) 312-1713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1736
SC
225100000X
Physical Therapist
P-CP034939T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP034939T
COMPACT LICENSE
NC
Enumeration date
09/06/2024
Last updated
09/12/2024
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