Individual
MR. DAVID E KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T
Contact information
Practice address
17800 CADDY DR, DERWOOD, MD 20855-1004
(240) 997-3938
Mailing address
17800 CADDY DR, DERWOOD, MD 20855-1004
(240) 997-3938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04163
MD
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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