Individual
KELLY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOC, ATC
Contact information
Practice address
800 UNIVERSITY DR, MARYVILLE, MO 64468-6015
(660) 562-1313
Mailing address
800 UNIVERSITY DR, MARYVILLE, MO 64468-6015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020025486
MO
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/19/2020
Last updated
08/11/2020
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