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NPI Code Detail

MEDICARE: KAITLYN WELCH LAT, ATC

MEDICARE: KAITLYN WELCH LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer326902LA

General Provider Information

NPI Number : 1578139820
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN WELCH LAT, ATC
Provider Business Mailing Address
First Line : 449 BEN HUR RD APT 4116
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-4122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 755 HANK AARON DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30315-1120
Country : US
Telephone Number : 404-413-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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Directions to “ KAITLYN WELCH LAT, ATC” Practice Location

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