Individual
KALLIE BREE NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
900 SOUTH LIMESTONE, LEXINGTON, KY 40508
(904) 507-1151
Mailing address
262 KALMIA AVE APT 9, LEXINGTON, KY 40508-2646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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