Individual
KALIE AN PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 UNIVERSITY PLZ, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2858
Mailing address
219 CANE CREEK LN APT 203, JACKSON, MO 63755-8952
(832) 286-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2023023906
MO
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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