Individual
MS. KAITLYN MICHELLE MCLENITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2869 N AUGUSTA DR, WADSWORTH, IL 60083-8913
(224) 789-0633
Mailing address
2869 N AUGUSTA DR, WADSWORTH, IL 60083-8913
(224) 789-0633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004148
IL
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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