Individual
KATELYNN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1834 WAKE FOREST RD, WINSTON-SALEM, NC 27109-6000
(336) 758-5616
Mailing address
1834 WAKE FOREST RD, WINSTON SALEM, NC 27109-6000
(336) 758-5616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-5900
NC
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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