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NPI Code Detail

MEDICARE: ANNE A KENNY PT

MEDICARE:   ANNE A KENNY  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7194FL

General Provider Information

NPI Number : 1659719102
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE A KENNY PT
Provider Business Mailing Address
First Line : PO BOX 2699
Second Line :
City : PENSACOLA
State : FL
Zip : 32513-2699
Country : US
Telephone Number : 850-475-4500
Fax Number : 850-227-7999
Provider Business Practice Location Address
First Line : 3871 E HIGHWAY 98
Second Line : SUITE 100
City : PORT SAINT JOE
State : FL
Zip : 32456-5301
Country : US
Telephone Number : 850-227-7778
Fax Number : 850-227-7999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 06/06/2013

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Directions to “ ANNE A KENNY PT” Practice Location

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