Individual
KELLY KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2149 W LELAND AVE APT B, CHICAGO, IL 60625-1527
(989) 400-2267
Mailing address
2149 W LELAND AVE APT B, CHICAGO, IL 60625-1527
(989) 400-2267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002893
IL
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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