Individual
KENNEDY DEWEY-MIGHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1665 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5653
(815) 973-2628
Mailing address
2041 GOLDEN CT, SPRING HILL, TN 37174-9602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2962
TN
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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