Individual
MADALYN KAE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7920 TAPIA ST, FONTANA, CA 92336-3815
(760) 885-8641
Mailing address
7920 TAPIA ST, FONTANA, CA 92336-3815
(760) 885-8641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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