Individual
KELLEY A LINCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1650 S POINCIANA BLVD, KISSIMMEE, FL 34758-2046
(407) 846-5917
Mailing address
1650 S POINCIANA BLVD, KISSIMMEE, FL 34758-2046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
05/11/2026
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