Mallory C. Kenna

NPI #1043720949 in Little Falls, Minnesota

Provider Information

NPI Number: 1043720949
Entity Type: Individual
Name: Mallory C. Kenna
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 14424 OAK RIDGE DR
City: Little Falls
State: Minnesota
ZIP Code: 56345-6433
Phone: (320) 630-8345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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