Kennedy, Mark

Kennedy, Mark is an individual health care provider with primary practice located at 707 N Emporia St , Wichita KS 67214-3707. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Kennedy, Mark can be contacted via phone (316) 858-3524.

Contact Information

Primary practice address
707 N Emporia St Wichita KS 67214-3707
Phone: (316) 858-3524
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 24-00513 Kansas

Profile Details

NPI number 1699189845
LBN Legal business name Kennedy, Mark
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Jun 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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