Individual
KAILEY GARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5242 KANAWHA BLVD E, CHARLESTON, WV 25306-6256
(304) 380-4511
Mailing address
5242 KANAWHA BLVD E, CHARLESTON, WV 25306-6256
(304) 380-4511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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