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Contact Information

KAYLA MACINNIS, MS, ATC, EMT-B
73 SOUTHERN BLVD
DANBURY, CT06810
 Phone: 203-744-1510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KAYLA MACINNIS · (Female)

NPI Number 1164815809
Status Active
Credentials MS, ATC, EMT-B
Entity Individual
Enumeration date 03/05/2015
Last updated 02/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 1084
  • CT License # 22885
  • CT Other 22885 EMT-B
  • CT Other 2000018481 NATIONAL ATHLETIC TRAINERS ASSOCIATION - BOARD OF CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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