NPI 1023407111

Kassandra Kelly, ATCLAT

Practitioner Athletic Trainer Statesboro, GA

Practice location

Address: 306b Granade St, Statesboro, GA 30458-2058
Phone: (912) 478-7582
Mailing address: PO Box 8082, Statesboro, GA 30460-1000

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001674 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1023407111
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2015
Record last updated: 13 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.