Individual
MRS. KENDRA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
904 WOODBINE WAY, SOUTH BEND, IN 46628-1241
(574) 289-2884
Mailing address
904 WOODBINE WAY, SOUTH BEND, IN 46628-1241
(574) 289-2884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000549A
IN
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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