Provider Demographics
NPI:1275144933
Name:SWEENEY, KENDALL ELIZABETH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KENDALL
Middle Name:ELIZABETH
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:ELIZABETH
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:418 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-0704
Mailing Address - Country:US
Mailing Address - Phone:270-926-8145
Mailing Address - Fax:270-926-8147
Practice Address - Street 1:418 W 3RD ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-0704
Practice Address - Country:US
Practice Address - Phone:270-926-8145
Practice Address - Fax:270-926-8147
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist