Individual
KENNEDY WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 N PARKRIDGE DR, MANSFIELD, TX 76063-3216
(817) 371-4248
Mailing address
609 N PARKRIDGE DR, MANSFIELD, TX 76063-3216
(817) 371-4248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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