Individual
KACY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 HAMPTON BLVD, NORFOLK, VA 23502
(218) 316-0497
Mailing address
337 PEFLEY DR, NORFOLK, VA 23502-5255
(218) 316-0497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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