Individual
MRS. JESSICA KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC, CSCS
Contact information
Practice address
2667 BRUTON BLVD, ORLANDO, FL 32805-5753
(407) 206-8717
Mailing address
2667 BRUTON BLVD, ORLANDO, FL 32805-5753
(407) 206-8717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6317
FL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2020
Last updated
12/31/2022
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