Daryl Kendrick ATC-L, CSCS

NPI 1629300280 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1629300280
Gender Male
Enumeration Date 02/08/2010
Last Updated 02/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1325 E FORTIFICATION ST
JACKSON MS, 39202-2442, US
Phone (601) 354-4488
Fax
Business Location
1325 E FORTIFICATION ST
JACKSON MS, 39202-2442, US
Phone (601) 354-4488
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Mississippi
License Number AT0365
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According to our database, Daryl Kendrick ATC-L, CSCS NPI is 1629300280, taxonomy code is 2255A2300X and license number is AT0365, license state is located at Mississippi. Daryl Kendrick ATC-L, CSCS physically located at 1325 E Fortification St, Jackson MS, 39202-2442. NPI Number Daryl Kendrick ATC-L, CSCS has the Individual type.

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1629300280 NPI number is provided on an as is basis without warranty of any kind. 1629300280 is maintained by the National Plan & Provider Enumeration System. The contents of Daryl Kendrick ATC-L, CSCS are for informational purposes only.