Individual
KAILIN CARROLL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15420 LIVINGSTON AVE APT 2715, LUTZ, FL 33559-3414
(706) 302-0948
Mailing address
15420 LIVINGSTON AVE APT 2715, LUTZ, FL 33559-3414
(706) 302-0948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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