Individual
KELLY O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8002 BROOKGLEN CT, LOUISVILLE, KY 40220-5034
(502) 851-6463
Mailing address
8002 BROOKGLEN CT, LOUISVILLE, KY 40220-5034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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