Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MICHELE LANE, AT
Active Sole ProprietorKELLY MICHELE LANE, AT is a Athletic Trainer healthcare provider located in SPRINGPORT, Michigan. NPI 1427572163 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SPRINGPORT, MI
Registration Details
- NPI Number
- 1427572163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2017 (9.0038711458296 yrs)
- Last Updated
- Jun 16, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W MAIN ST APT 2BSPRINGPORT, MI, 492849517Browse MI providers · Browse ZIP 49284
- Phone
- 5172149511
- Fax
- 5172149511
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.