Individual
KAILYNNE GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17009 NEWBERRY LN, WESTFIELD, IN 46074-8002
(317) 480-2927
Mailing address
17009 NEWBERRY LN, WESTFIELD, IN 46074-8002
(317) 480-2927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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