Individual
KAELENE KRAGENBRINK-VOORHEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6101 NORTHWEST BLVD, DAVENPORT, IA 52806-1861
(563) 449-7004
Mailing address
2610 W 56TH ST, DAVENPORT, IA 52806-2609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079123
IA
Other
Enumeration date
08/29/2017
Last updated
03/17/2018
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