Individual
OMAR KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2560 COLORADO BLVD, LOS ANGELES, CA 90041-1005
(323) 255-5409
Mailing address
10876 PALMS BLVD APT 10, LOS ANGELES, CA 90034-5553
(917) 279-0861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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