Individual
MITCHELL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 758-0000
Mailing address
1480 CAMBRIA DR UNIT 4, DEKALB, IL 60115-1083
(815) 901-2422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004291
IL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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