Individual
KAITLYN NICOLE COERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 SHERWOOD ST APT C, GREENSBORO, NC 27403-2428
(757) 395-7406
Mailing address
2500 ROWAN PL, VIRGINIA BEACH, VA 23456-2467
(757) 395-7406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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