| NPI | 1962630244 |
|---|---|
| Former Name | KELLIE NICOLE COX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 2301) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-12-21 |