Individual
KACI LYNN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(770) 851-2490
Mailing address
1105 FRENCH DR, CONWAY, AR 72034-9445
(770) 851-2490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT725
AR
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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