Individual
MS. JAN KIILSGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
100 E. UNIVERSITY, MAGNOLIA, AR 71754
(870) 235-4161
(870) 235-4988
Mailing address
1303 HIGH SCHOOL DR, MAGNOLIA, AR 71753-2670
(870) 234-3757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT297
AR
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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