Individual
MACKENZIE KITTELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454
(612) 245-4832
Mailing address
1369 SPRUCE PL APT 1207, MINNEAPOLIS, MN 55403-2753
(612) 245-4843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
09/17/2019
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