Individual
MEGAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5500
Mailing address
222 N AIRWOOD AVE, SPRINGFIELD, MO 65802-2696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009020448
MO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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