Individual
KENNA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-9652
(239) 590-7095
Mailing address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9652
(701) 355-8289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6150
FL
Other
Enumeration date
03/19/2018
Last updated
12/05/2022
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