Individual
KILEY MICHELLE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6623 ROCKLAND DR, CLIFTON, VA 20124-2501
(804) 874-9629
Mailing address
6623 ROCKLAND DR, CLIFTON, VA 20124-2501
(804) 874-9629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039968
MN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/28/2019
Last updated
11/27/2023
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