Individual
MR. PAUL R. KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1670 NV-88, MINDEN, NV 89423
(702) 767-7424
Mailing address
451 ROSEBEN CT, RENO, NV 89521-8360
(702) 767-7424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506033
NV
Other
Enumeration date
08/15/2006
Last updated
05/30/2024
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