Individual
KIMBERLY KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115C E DREW ST, PERRY, FL 32347-3341
(603) 721-6748
Mailing address
1992 WT GRUBBS RD, PERRY, FL 32347-0916
(603) 721-6748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA94817
FL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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