Provider Demographics
NPI:1346378098
Name:KENNEY, VICTORIA WILLIAMS (PT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:WILLIAMS
Last Name:KENNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 STILL POND RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-5554
Mailing Address - Country:US
Mailing Address - Phone:931-388-2473
Mailing Address - Fax:931-388-2473
Practice Address - Street 1:1224 TROTWOOD AVE.
Practice Address - Street 2:MAURY REGIONAL HOSPITAL
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-381-1111
Practice Address - Fax:931-540-4318
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT 476225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPT 476OtherPHYSICAL THERAPIST