Individual
MS. MARYLYN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
2604 WILLARD DR, CHARLOTTESVILLE, VA 22903-4228
(434) 979-8628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119006287
VA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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