Individual
KEARSTON MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
19104 HOLKE RD, INDEPENDENCE, MO 64057-1402
(816) 801-9849
Mailing address
19104 HOLKE RD, INDEPENDENCE, MO 64057-1402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2019
Last updated
08/18/2021
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