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1407049430
KENNETTE R. WYNN
OVERLAND PARK, KS
NPI
1407049430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006001837)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
-- KENNETTE R. WYNN P.T.
10300 W 103RD ST SUITE 300
OVERLAND PARK, KS 66214-2642
Phone number: 913-894-1910
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Mailing Address
-- KENNETTE R. WYNN P.T.
15202 GRAND SUMMIT BLVD APT 204
GRANDVIEW, MO 64030-2790
Phone number: 417-399-7339
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