| NPI | 1508537796 |
|---|---|
| Former Name | KYLEE JANE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03889) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 3633) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-08-15 |