Individual
KENNEDY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
727 SE MAIN ST STE 200, SIMPSONVILLE, SC 29681-3262
(864) 999-3831
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/29/2021
Last updated
12/03/2024
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