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

Kennie Lee Jose

Individual provider Physical Therapy Assistant · NPI 1679192686

Kennie Lee Jose is a Physical Therapy Assistant in Pomona, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1798 N Garey Ave
Pomona, CA 91767-2918
Phone: (909) 865-9500
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 PTA3182 (CA)

Record details

NPI number1679192686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

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