Individual provider · Type 1 NPI
Mallory C. Kenna
Student in an Organized Health Care Education/Training Program · Little Falls, MN
NPI number
1043720949
Active
Practice location
14424 Oak Ridge Dr
Little Falls, MN 56345-6433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Little Falls
About NPI 1043720949
Mallory C. Kenna's National Provider Identifier is 1043720949, issued on Oct 5, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Falls, MN. The record was last updated on Oct 5, 2017.