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Individual

CONNOR KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
9216 ARDREY KELL RD STE 300, CHARLOTTE, NC 28277-4954
(980) 556-7330
(980) 939-8215
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11608
SC
225100000X
Physical Therapist
Primary
P21053
NC

Other

Enumeration date
03/22/2022
Last updated
11/21/2022
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