Individual
MACKENZIE ROSE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-8005
(407) 823-2103
Mailing address
4180 N ORION BLVD, ORLANDO, FL 32816-8029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6272
FL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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