Individual
MICHAEL MCKENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2210 W MAGDALENA LN, PHOENIX, AZ 85041-7752
(602) 386-7673
Mailing address
2210 W MAGDALENA LN, PHOENIX, AZ 85041-7752
(602) 386-7673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0076
AZ
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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