KELLY JEAN DIKE

LAGRANGE, KY
NPI1891819199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- KELLY JEAN DIKE MS, ATC
1025 NEW MOODY LN
LAGRANGE, KY 40031-9154
Phone number: 502-222-3303
Mailing Address
-- KELLY JEAN DIKE MS, ATC
5203 MARY CLAYTON LN
CRESTWOOD, KY 40014-8602
Phone number: 502-773-0686
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