Individual
MCKENSIE BEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2101 SW 36TH ST, TOPEKA, KS 66611-2553
(785) 266-4540
Mailing address
7103 SW 18TH ST, TOPEKA, KS 66615-1153
(785) 806-9577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01107
KS
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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