MEDICARE: YUJIAN KATHLEEN KENNEDY DPT

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
1	225100000X	Physical Therapist	PT016775	GA

General Provider Information

NPI Number	:	1881377182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUJIAN KATHLEEN KENNEDY DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 MUNDY MILL RD STE 102B
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30504-8226
Country	:	US
Telephone Number	:	770-287-8821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	02/16/2026

Similar Medicare Providers

1093819450 — PROFESSIONAL THERAPY SERVICES, LLC
Practice Location Address:

3640 MUNDY MILL RD STE 102B
GAINESVILLE, GA
30504-8226

Practice Phone: 770-287-8821
Practice Fax: 770-287-8797

1154672061 — LESLIE ANNE ALVAREZ ATC
Practice Location Address:

3640 MUNDY MILL RD STE 102B
GAINESVILLE, GA
30504-8226

Practice Phone: 770-287-8821
Practice Fax: 770-287-8797

1124583620 — BROOKE ANNE OCHOA OT
Practice Location Address:

3640 MUNDY MILL RD STE 102B
GAINESVILLE, GA
30504-8226

Practice Phone: 770-287-8821
Practice Fax: 770-287-8797

1750191532 — MONTANA YOUNG OT
Practice Location Address:

3640 MUNDY MILL RD STE 102B
GAINESVILLE, GA
30504-8226

Practice Phone: 770-287-8821
Practice Fax:

1598618019 — SARA ELIZABETH COUGHLIN
Practice Location Address:

4473 BEECHNUT VW
GAINESVILLE, GA
30504-9305

Practice Phone: 706-362-5385
Practice Fax:

1417809138 — EASY SLEEP DENTAL PC
Practice Location Address:

950 MCEVER RD
GAINESVILLE, GA
30504-3938

Practice Phone: 678-200-4922
Practice Fax:

Directions to “ YUJIAN KATHLEEN KENNEDY DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.