| NPI | 1508414962 |
|---|---|
| Former Name | KELSEY ELIZABETH KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT032673) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05011488A) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-09-26 |