Mckensie Ellyn Vanosdol

NPI #1619346426 in North Vernon, Indiana

Provider Information

NPI Number: 1619346426
Entity Type: Individual
Name: Mckensie Ellyn Vanosdol
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 22, 2015
Last Updated: Sep 22, 2015

Practice Location

Address: 475 PERSIMMON DR
City: North Vernon
State: Indiana
ZIP Code: 47265-2459
Phone: (812) 592-7725

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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