Individual
KENNEDY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 GLADE BND, FAIRBURN, GA 30213-4654
(404) 452-6254
Mailing address
7900 GLADE BND, FAIRBURN, GA 30213-4654
(404) 452-6254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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