Individual
KIERA KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2 SHORT 6TH ST APT B, WATERFORD, NY 12188-2223
(518) 641-9278
Mailing address
2 SHORT 6TH ST # B, WATERFORD, NY 12188-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003161
NY
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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