Individual
KELLY LOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
907 SCHWAGER DRIVE, WHITEWATER, WI 53190-9452
(262) 949-9408
Mailing address
907 SCHWAGER DRIVE, WHITEWATER, WI 53190
(262) 949-9408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
04/07/2023
Last updated
08/03/2023
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