Individual
MAKENZIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLLEGE AVE STE E230, MANHATTAN, KS 66502-2818
(785) 587-1825
(785) 596-6859
Mailing address
1829 COLLEGE HEIGHTS RD APT 5, MANHATTAN, KS 66502-3567
(785) 305-1823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318333
KS
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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