Individual
KAITLIN COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
420 MYRTLE GREENS DR APT B, CONWAY, SC 29526-9031
(845) 729-0803
Mailing address
420 MYRTLE GREENS DR APT B, CONWAY, SC 29526-9031
(845) 729-0803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000003185
NATABOC
—
Enumeration date
03/25/2016
Last updated
03/25/2016
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