Individual provider · NPI-1

Kelly Brown, MS, LAT, ATC

Specialist/Technologist, Athletic Trainer · Marietta, GA

NPI number1669972196
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1669972196
Entity type
Individual (NPI-1)
Name
Kelly Brown
Credential
MS, LAT, ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 21, 2018
Last updated
Feb 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

3618 Sandy Plains Rd # 200
Marietta, GA 30066-3020

Phone 770-785-3229

Mailing address

2204 Cumberland Ct Se
Smyrna, GA 30080-8666

Phone 678-522-6479

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