Individual
KELLY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 NORTH STADIUM DR, BATON ROUGE, LA 70803-0001
(225) 578-2050
Mailing address
11164 CAPTAINS COVE DR, SODDY DAISY, TN 37379-5764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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