Individual
KELLY PATRICIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-1144
(910) 692-2444
Mailing address
6740 BRAMBLE AVE, CINCINNATI, OH 45227-3122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT00003504
OH
2255A2300X
Athletic Trainer
Primary
AT003504
OH
Other
Enumeration date
03/19/2020
Last updated
10/03/2022
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