Individual
RENEL KENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KAYLOR CIR, FROSTBURG, MD 21532-2009
(301) 689-7500
Mailing address
1054 PEA RIDGE RD, LONACONING, MD 21539-2021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07389
MD
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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