Individual
KELLY LYNNE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
215 CAMERON HALL, VIRGINIA MILITARY INSTITUTE, LEXINGTON, VA 24450
(540) 464-7310
Mailing address
215 CAMERON HALL, VIRGINIA MILITARY INSTITUTE, LEXINGTON, VA 24450
(540) 464-7310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080802134
NY
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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