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Contact Information

MCKENNA N MARDLIN, MS, ATC, EMT, OPE-C
4001 W MCNICHOLS RD
DETROIT, MI48221-3038
 Phone: 313-623-2109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for MCKENNA N MARDLIN · (Female)

NPI # 1295596013
Status Active
Credentials MS, ATC, EMT, OPE-C
Entity Individual
Enumeration date 01/18/2024
Last updated 06/19/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 2017040
  • MI License # 2601003117
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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