Individual
KENNEDY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15285 STONES THROW CIR, HAMMOND, LA 70401-7544
(985) 789-9290
Mailing address
255 RUE JONATHAN, SLIDELL, LA 70461-5441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
LA
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5811132333952
—
LA
Enumeration date
03/03/2019
Last updated
03/03/2019
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