NPI 1699189845

Mark Kennedy, ATC

Practitioner Other Specialist/Technologist Wichita, KS

Practice location

Address: 707 N Emporia St, Wichita, KS 67214-3707
Phone: (316) 858-3524
Mailing address: 7703 W Shadow Lakes St, Wichita, KS 67205-1913

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 24-00513 (KS)

Other Specialist/Technologist, Other providers in Kansas →

Registry record

NPI: 1699189845
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2014
Record last updated: 16 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.