Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LINVILLE, ATC
Active Sole ProprietorKELLY LINVILLE, ATC is a Athletic Trainer healthcare provider located in FRYEBURG, Maine. NPI 1710221601 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FRYEBURG, ME
Registration Details
- NPI Number
- 1710221601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2012 (13.720821043044 yrs)
- Last Updated
- Nov 16, 2012
- Licenses
-
0540 (NH)AT450 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
568 MAIN STSUITE 2FRYEBURG, ME, 040371146Browse ME providers · Browse ZIP 04037
- Phone
- 2079357770
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.