| Doctor Name: | MR. MICHAEL WESLEY KENNEDY |
| NPI Number: | 1548392962 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MS |
| License Number: | 003567 |
| Business Practice Address: | 181 W Professional Park Ct Suite 1 Bowling Green, KY - 421043250 |
| Business Phone Number: | 2708435300 |
| Business Fax Number: | 2708435383 |
| Mailing Address: | Po Box 51322, BOWLING GREEN |
| State: | KY |
| Postal Code: | 421025622 |
| Phone Number: | 2707779283 |
| Fax Number: | 2707771550 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 003567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |