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Individual

MS. KATHLEEN SUSAN TENLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
700 E BROAD ST, COLUMBUS, OH 43215-3947
(614) 224-1090
Mailing address
6770 PICCADILLY PL, APT D, COLUMBUS, OH 43229-1542
(614) 899-9174

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000349
OH

Other

Enumeration date
10/11/2005
Last updated
07/08/2007
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