Individual
ALEXANDREA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26145 W SYLVAN MEADOW DR, CHANNAHON, IL 60410-3447
(815) 514-9386
Mailing address
26145 W SYLVAN MEADOW DR, CHANNAHON, IL 60410-3447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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