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Individual

MCKENNA WARFEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MEDICAL DRIVE, EDGEWOOD, KY 41017
(859) 301-2000
Mailing address
215 AHC NUNN DRIVE, HIGHLAND HEIGHTS, KY 41076
(859) 572-6579

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004461
OH
2255A2300X
Athletic Trainer
Primary
KY1227
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004461
OHIO LICENSE
OH
01
AT1227
KENTUCKY LICENSE
KY
Enumeration date
09/26/2019
Last updated
09/26/2019
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