Kendrick Widemon

NPI #1942630116 in Keller, Texas

Provider Information

NPI Number: 1942630116
Entity Type: Individual
Name: Kendrick Widemon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 25, 2013
Last Updated: Nov 25, 2013

Practice Location

Address: 5728 MOON FLOWER CT
City: Keller
State: Texas
ZIP Code: 76244
Phone: (817) 337-9548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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