Individual
KELLIN ELIZABETH MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
998 COLE DR SW, LILBURN, GA 30047-5499
(414) 588-4341
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(414) 588-4341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001833
GA
Other
Enumeration date
02/22/2010
Last updated
02/21/2019
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