Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY PORTER
ActiveKENNEDY PORTER is a Occupational Therapy Assistant healthcare provider located in HOLTON, Michigan. NPI 1285361444 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HOLTON, MI
Registration Details
- NPI Number
- 1285361444
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2022 (4.0267196934618 yrs)
- Last Updated
- Aug 6, 2022
- License
-
5202009919 (MI)
Practice Information
- Address
-
5217 HOLTON WHITEHALL RDHOLTON, MI, 494257503Browse MI providers · Browse ZIP 49425
- Phone
- 2316838009
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.