Individual
MRS. KELLY LEANN QUINLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
NORTHWEST MISSOURI STATE UNIVERSITY, 800 UNIVERSITY DRIVE, LAC 45, MARYVILLE, MO 64468-2712
(660) 562-1545
Mailing address
716 HIGHLAND AVE, MARYVILLE, MO 64468-2712
(660) 528-1670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2003015261
MO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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