Kelley Lyn Etheridge, ATC
Athletic Trainer · Hiram, GA
NPI number
1073660759
Practice location
52 Woodsfield LnHiram, GA 30141-5165
- Phone
- (404) 218-9051
NPI record
- NPI
- 1073660759
- Entity type
- Individual (Type 1)
- Enumeration date
- January 4, 2007
- Last updated
- July 10, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Kelley Etheridge
Kelley Lyn Etheridge, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 52 Woodsfield Ln, Hiram, GA 30141-5165. The NPI number 1073660759 was assigned on January 4, 2007 and the record was last updated on July 10, 2007.
Frequently asked questions
What is the NPI number of Kelley Lyn Etheridge, ATC?
The NPI number is 1073660759.
What is the phone number of Kelley Etheridge?
The phone number listed for the practice location is (404) 218-9051.
Where is Kelley Etheridge located?
52 Woodsfield Ln, Hiram, GA 30141-5165.
What is the taxonomy code for Kelley Etheridge?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Hiram
- Miranda Elyse McClure123 Fair Havens Dr