Individual
MISS LESLEY RENEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20 LOCUST ST, UNIONTOWN, PA 15401-3006
(814) 889-9657
Mailing address
20 LOCUST ST, UNIONTOWN, PA 15401-3006
(814) 889-9657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004058
PA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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