Individual
EDEN KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985 E 1549 RD, LAWRENCE, KS 66046-9641
(785) 393-1211
Mailing address
985 E 1549 RD, LAWRENCE, KS 66046-9641
(785) 393-1211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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