Jeffrey Robert Kennedy in Willmar - Sports
Jeffrey Robert Kennedy - NPI 1235392887
Jeffrey Robert Kennedy is a Sports in Willmar, Minnesota. Jeffrey Robert Kennedy practices all healthcare services and medical treatments related to Sports. The NPI Number for Jeffrey Robert Kennedy is 1235392887. The last update date is 2008-07-03.
Jeffrey Robert Kennedy's current location address is 1604 1st St S, Willmar, Minnesota. You can contact this provider via phone number 3202315000. The mailing address for Jeffrey Robert Kennedy is 1604 1st St S, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Robert Kennedy |
|---|---|
| Address | 1604 1st St S, Willmar, Minnesota |
| Phone Number | 3202315000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1235392887 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 1604 1st St S |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562014243 |
| Phone Number | 3202315000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey Robert Kennedy by the Centers for Medicare & Medicaid Services?
The Jeffrey Robert Kennedy has been assigned the NPI (National Provider Identifier) 1235392887 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey Robert Kennedy is located?
The Jeffrey Robert Kennedy is situated at the following address: 1604 1St St S, Willmar, MN, 562014243.
What is Jeffrey Robert Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Robert Kennedy's area of specialization is Sports, and the corresponding taxonomy code that categorizes this field of practice is 2251S0007X.
When was the Jeffrey Robert Kennedy's 1235392887 issued?
The Jeffrey Robert Kennedy's 1235392887 was issued on 2008-07-03.
As of what date was the information pertaining to Jeffrey Robert Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Robert Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-03.