Individual provider · Type 1 NPI
Mark Kennedy, ATC
Other Specialist/Technologist · Wichita, KS
NPI number
1699189845
Active
Practice location
707 N Emporia St
Wichita, KS 67214-3707
Mailing address
7703 W Shadow Lakes St
Wichita, KS 67205-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 24-00513 (KS) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1699189845
Mark Kennedy, ATC's National Provider Identifier is 1699189845, issued on Jun 16, 2014. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Wichita, KS. The record was last updated on Jun 16, 2014.