Individual
DR. KIRA LEANN OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11001 OWINGS MILLS BLVD, OWINGS MILLS, MD 21117-2857
(443) 352-4263
Mailing address
1 UNIVERSITY CIRCLE, WESTERN ILLINOIS UNIVERSITY - ATHLETIC TRAINING, MACOMB, IL 61455-1405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002492
IL
2255A2300X
Athletic Trainer
Primary
A001136
MD
Other
Enumeration date
09/15/2008
Last updated
09/16/2021
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