Individual
KAITLYN NICOLE MCGONAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 ALLEN JARRETT DR, MEBANE, NC 27302-9522
(336) 260-6897
Mailing address
1780 ALLEN JARRETT DR, MEBANE, NC 27302-9522
(336) 260-6897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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