Individual
JESSICA LYNN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
240 MEDICAL PARK BLVD, STE 1700, BRISTOL, TN 37620-7346
(423) 578-1560
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005619
KY
225100000X
Physical Therapist
Primary
PT10621
TN
Other
Enumeration date
07/23/2010
Last updated
04/06/2017
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