Individual
KAY ELIZABETH KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
171 CREAMERY RD, ELVERSON, PA 19520-9009
(484) 798-5576
Mailing address
171 CREAMERY RD, ELVERSON, PA 19520-9009
(484) 798-5576
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TE005132L
PA
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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