Kelley Lyn Etheridge in Hiram - Athletic Trainer

Kelley Lyn Etheridge - NPI 1073660759

Kelley Lyn Etheridge is a Athletic Trainer in Hiram, Georgia. Kelley Lyn Etheridge practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kelley Lyn Etheridge is 1073660759. The last update date is 2007-07-10.

Kelley Lyn Etheridge's current location address is 52 Woodsfield Ln, Hiram, Georgia. You can contact this provider via phone number 4042189051. The mailing address for Kelley Lyn Etheridge is 52 Woodsfield Ln, Hiram, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelley Lyn Etheridge
Address 52 Woodsfield Ln, Hiram, Georgia
Phone Number 4042189051
Fax Number
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1073660759
Provider Enumeration Date 2007-01-04
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 52 Woodsfield Ln
City Hiram
State Georgia (GA)
Post Code 301415165
Phone Number 4042189051
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Kelley Lyn Etheridge

What is the unique 10-digit identifier code assigned to Kelley Lyn Etheridge by the Centers for Medicare & Medicaid Services?

The Kelley Lyn Etheridge has been issued the NPI (National Provider Identifier) 1073660759 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kelley Lyn Etheridge's facilities are situated?

The facilities of Kelley Lyn Etheridge are physically located at the following address: 52 Woodsfield Ln, Hiram, GA, 301415165.

What is Kelley Lyn Etheridge's area of expertise and its corresponding taxonomy classification?

The Kelley Lyn Etheridge's field of specialization is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073660759 to Kelley Lyn Etheridge?

The Centers for Medicare & Medicaid Services originally issued the 1073660759 to Kelley Lyn Etheridge on 2007-01-04.

When was the information related to Kelley Lyn Etheridge most recently updated or refreshed?

The details pertaining to the Kelley Lyn Etheridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-10.

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