Individual
KALI CONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, SCAT
Contact information
Practice address
201 JORDANVILLE RD, AYNOR, SC 29511-3601
(843) 488-7109
Mailing address
201 JORDANVILLE RD, AYNOR, SC 29511-3601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1147
SC
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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