Individual
MS. KELLY LYNN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13 CAROTHERS RD, NEWPORT, KY 41071-2415
(859) 292-0001
(859) 292-0656
Mailing address
2619 ASPEN PINES DR, WILDER, KY 41071-0450
(859) 801-7642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KY
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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