Individual
MR. WILLIAM TODD KIRKENDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3441 RIDGECREST ROAD EXT, JACKSON, TN 38305-7500
(731) 988-9071
(731) 988-9077
Mailing address
18 PICKENS CV, JACKSON, TN 38305-5706
(731) 234-4750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000000504
TN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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