Individual
JENNIFER BETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1001 LOCUST ST, KANSAS CITY, MO 64106-1904
(816) 292-8615
Mailing address
626 N MAHAFFIE ST, OLATHE, KS 66061-6430
(913) 780-4659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014011851
MO
2255A2300X
Athletic Trainer
24-00485
KS
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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