RUSSELL KENWORTHY, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1417362559
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AT0159 (MS) |
Frequently Asked Questions
NPI 1417362559 is the National Provider Identifier for RUSSELL KENWORTHY, ATC, a Specialist/Technologist - Athletic Trainer provider located in Long Beach, MS. This NPI was enumerated on June 27, 2014.
RUSSELL KENWORTHY, ATC practices at 312 RITA LN, Long Beach, MS 39560.
Quick Facts
- NPI
- 1417362559
- Type
- Individual
- Enumerated
- Jun 27, 2014
- Last Updated
- Jun 27, 2014
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