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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY LILLY, ATC

Active

STACY LILLY, ATC is a Athletic Trainer healthcare provider located in OWENTON, Kentucky. NPI 1730629304 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · OWENTON, KY

Registration Details

NPI Number
1730629304
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2017 (9.4500875210059 yrs)
Last Updated
Mar 2, 2017

Practice Information

Address
113 W ADAIR ST
OWENTON, KY, 403593020
Browse KY providers · Browse ZIP 40359
Phone
6068754706
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.