Individual
ALEXANDER PATRICK KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3318
(732) 544-1557
Mailing address
136 KYLE DR, TINTON FALLS, NJ 07712-7537
(816) 830-8776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00334600
NJ
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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