Individual
TIFFANY L KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3825 WISCONSIN AVE NW, WASHINGTON, DC 20016-2907
(202) 537-8409
Mailing address
3825 WISCONSIN AVE NW, WASHINGTON, DC 20016-2907
(202) 537-8409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
04/17/2023
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