Individual
KAYLA ANN SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
560 W SIXTH AVE., KENNEWICK, WA 99336
(509) 222-7100
Mailing address
721 S HARTFORD ST, KENNEWICK, WA 99336-5520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61319757
WA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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