Individual
KENNA MEGAN HODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1201 LEROY POND DRIVE, SPORTS MEDICINE DEPARTMENT, FAYETTEVILLE, AR 72701
(479) 575-4018
(479) 575-6525
Mailing address
985 W BERRY ST, APT #4, FAYETTEVILLE, AR 72701-1875
(520) 909-7768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
673
AR
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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