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Individual

KENADEE LUCILLE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 MCGILL HALL 32 CAMPUS DR, MISSOULA, MT 59812-0001
(406) 243-2703
Mailing address
4990 ABBY LN APT 303, MISSOULA, MT 59808-1293
(208) 571-6057

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/15/2025
Last updated
07/15/2025
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