| Doctor Name: | KATHLEEN M KENNA |
| NPI Number: | 1346445996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 21909 |
| Business Practice Address: | 22511 Twain Harte Dr Twain Harte, CA - 953839628 |
| Business Phone Number: | 2095864689 |
| Business Fax Number: | 2095862309 |
| Mailing Address: | Po Box 1447, MI WUK VILLAGE |
| State: | CA |
| Postal Code: | 953461447 |
| Phone Number: | 2095865325 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 21909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |