Individual
MCKENNA EMILY PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
224 E WILSON ST, WINGATE, NC 28174
(704) 233-8165
Mailing address
220 N CAMDEN RD, WINGATE, NC 28174-9644
(704) 233-8165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4365
NC
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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