Individual provider · Type 1 NPI
Alice Kenly, LMT, LLCC
Specialist · Clinton, NY
NPI number
1760680086
Active
Practice location
86 Meadow St
Clinton, NY 13323-1607
Fax (315) 853-4285
Mailing address
118 Arlington Rd
Utica, NY 13501-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 014560-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1760680086
Alice Kenly, LMT, LLCC's National Provider Identifier is 1760680086, issued on Jul 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clinton, NY. The record was last updated on Jul 8, 2007.