Provider Demographics
NPI:1508627514
Name:KENYON, ANNE MICHELE (MS, ACSM-CEP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MICHELE
Last Name:KENYON
Suffix:
Gender:F
Credentials:MS, ACSM-CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1821 HILLANDALE RD STE 25B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2671
Mailing Address - Country:US
Mailing Address - Phone:919-660-6758
Mailing Address - Fax:
Practice Address - Street 1:1821 HILLANDALE RD STE 25B
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2671
Practice Address - Country:US
Practice Address - Phone:919-660-6758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist