Individual
DENNIS S KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
731 N WATER ST, SUITE 2, WICHITA, KS 67203-3853
(316) 267-3825
(316) 267-3843
Mailing address
731 N WATER ST, SUITE #2, WICHITA, KS 67203-3853
(316) 267-3825
(316) 267-3843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07470984
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100320580A
—
KS
Enumeration date
02/17/2012
Last updated
02/17/2012
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