Individual
BRADY JANE KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-8990
Mailing address
1014 BIRDFORD LAKE RD, GLENNVILLE, GA 30427-6042
(912) 318-5361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
08/17/2023
Last updated
09/30/2025
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