Individual
KADY O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6189 PINEWOOD DR, CLARKSTON, MI 48346-2274
(248) 622-7497
Mailing address
6189 PINEWOOD DR, CLARKSTON, MI 48346-2274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3076
MA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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