Individual
MR. KENNETH C MCCALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, EMT
Contact information
Practice address
789 WILDCAT WAY, BREA, CA 92821-7402
(714) 990-7850
Mailing address
789 WILDCAT WAY, BREA, CA 92821-7402
(714) 990-7850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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