Individual
MISS LESLIE CATHERINE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
231 W 6TH ST, POWELL, WY 82435-1898
(307) 754-6053
(307) 754-6099
Mailing address
231 W 6TH ST, POWELL, WY 82435-1898
(307) 754-6053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092
WY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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