Individual
KIMBERLY ISABELLA KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5755 CLEARFORK MAIN ST, FORT WORTH, TX 76109-3596
(817) 489-6602
Mailing address
2308 VILLANOVA ST, ARLINGTON, TX 76018-2551
(817) 862-8952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124590
TX
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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