Kathy Kennedy Matthews, ATC
Specialist/Technologist, Athletic Trainer in Bremen, GA. Individual provider (NPI-1).
NPI number1124579263
StatusActive
Last updated in NPPESOct 24, 2016
Details
- NPI
- 1124579263
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathy Kennedy Matthews
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2016
- Last updated
- Oct 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT000639 | GA | Yes |
Practice location
504 Georgia Ave SBremen, GA 30110-2122
Phone 770-537-2592
Mailing address
504 Georgia Ave SBremen, GA 30110-2122
Phone 770-537-2592
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