Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Lewallen

Individual provider Physical Therapy Assistant · NPI 1710685243

Kennedy Lewallen is a Physical Therapy Assistant in Kissimmee, Florida. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

201 Park Place Blvd
Kissimmee, FL 34741-2345
Phone: (407) 530-5063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3279 (OK)

Record details

NPI number1710685243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address601 Sequoyah Ln, Altus, OK 73521-1753

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