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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN KENNEDY, LAT, ATC

Active

LOGAN KENNEDY, LAT, ATC is a Athletic Trainer healthcare provider located in FARMVILLE, North Carolina. NPI 1235703745 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FARMVILLE, NC

Registration Details

NPI Number
1235703745
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2021 (5.2511163116793 yrs)
Last Updated
May 19, 2021
License
LAT-4615 (NC)

Practice Information

Address
3308 E WILSON ST
FARMVILLE, NC, 278281674
Browse NC providers · Browse ZIP 27828
Phone
2527535138
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.