Individual provider · Type 1 NPI

Kennedy M. Brummond, OT

Occupational Therapist · Green Bay, WI

NPI number 1659018240 Active

Practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Call (920) 433-3655 Map

Fax (920) 433-3539

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 725 S Webster Ave, Green Bay, WI 54301-3500 · (920) 433-3655

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7275-26 (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 1659018240

Kennedy M. Brummond, OT's National Provider Identifier is 1659018240, issued on May 16, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Green Bay, WI. The record was last updated on May 27, 2026.