Individual provider · Type 1 NPI

Kelly Kennedy, OTR

Occupational Therapist · Delavan, WI

NPI number 1174647689 Active

Practice location

N4901 Dam Rd
Delavan, WI 53115-2927

Mailing address

W9623 Walworth Woods Rd
Delavan, WI 53115-2438

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X0720000540 (VT)
Occupational Therapist Primary 225X00000X4194-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174647689

Kelly Kennedy, OTR's National Provider Identifier is 1174647689, issued on Mar 19, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Delavan, WI. The record was last updated on Sep 6, 2012.