Individual
MACKENNA NOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1111 N DEWEY AVE, OKLAHOMA CITY, OK 73103-2609
(405) 272-9671
Mailing address
3993 NW 122ND ST APT D, OKLAHOMA CITY, OK 73120-8243
(770) 570-3486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1337
OK
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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