Individual
BRENDAN CONNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 LOOKOUT FARM DRIVE, CRESTVIEW HILLS, KY 41017-2239
(859) 815-0311
Mailing address
133 LOOKOUT FARM DR, CRESTVIEW HILLS, KY 41017-2239
(859) 815-0311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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