Individual
KELBY RAE HURLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
500 CENTER PARK DR, CHARLOTTE, NC 28217
(704) 791-5795
Mailing address
212 BRACKENBERRY CIR, MOUNT PLEASANT, NC 28124-9405
(704) 791-5795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2991
NC
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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