Individual
KELLY LANE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
300 PITTS SCHOOL RD SW, CONCORD, NC 28027-3903
(704) 788-4500
Mailing address
802 MOTT SHUE DR SW, CONCORD, NC 28027-0311
(919) 691-5402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1959
NC
Other
Enumeration date
10/02/2014
Last updated
04/22/2015
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