Individual
ALAN KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7209 MCCORMICK LN, FAIRVIEW, TN 37062-8347
(615) 604-7092
Mailing address
7209 MCCORMICK LN, FAIRVIEW, TN 37062-8347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000001219
TN
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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