Individual
MRS. JENNIFER IRENE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
1712 3RD ST, RADFORD, VA 24141-1228
(540) 633-1712
(540) 831-5082
Mailing address
1712 3RD ST, RADFORD, VA 24141-1228
(540) 633-1712
(540) 831-5082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000633
VA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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