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Contact Information

JOSEPH A KENNEDY, OTHER
902 E LINCOLN RD
IDABEL, OK74745-7337
 Phone: 580-286-2600
 Fax: 580-286-1107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JOSEPH A KENNEDY · (Male)

NPI # 1013087063
Status Active
Credentials OTHER
Entity Individual
Enumeration date 11/08/2006
Last updated 06/07/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 1117
  • AK Other 1117 PHYSICAL THERAPY
  • OK Other 4463 OKLAHOMA PT LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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