Kennedy, Mitchell

Kennedy, Mitchell is an individual health care provider with primary practice located at 2111 Midlands Ct , Sycamore IL 60178-3125. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Kennedy, Mitchell can be contacted via phone (815) 758-0000.

Contact Information

Primary practice address
2111 Midlands Ct Sycamore IL 60178-3125
Phone: (815) 758-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004291 Illinois

Profile Details

NPI number 1588357982
LBN Legal business name Kennedy, Mitchell
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2023
Last updated May 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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