Doctor Name: | WINSTON KENNEDY |
NPI Number: | 1104290196 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 30866 |
Business Practice Address: | 1897 Ne 146th St North Miami, FL - 331811423 |
Business Phone Number: | 3053435303 |
Business Fax Number: | |
Mailing Address: | 13092 Sw 21st St, MIRAMAR |
State: | FL |
Postal Code: | 330272607 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/14/2015 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 30866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |