Individual
MRS. HEATHER PARKER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
480 EXCHANGE AVE, CONWAY, AR 72032-7808
(501) 336-6367
Mailing address
7801 E BOYSEN DR, CLAREMORE, OK 74019-3816
(501) 428-3041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
763
OK
2255A2300X
Athletic Trainer
AT 289
AR
Other
Enumeration date
01/01/2007
Last updated
03/27/2015
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