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Individual

KELSEY SHONK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2835 BEXLEY PARK RD, NONE, COLUMBUS, OH 43209-2233
(614) 557-8152
Mailing address
2835 BEXLEY PARK RD, COLUMBUS, OH 43209-2233
(614) 557-8152

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 004537
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/07/2015
Last updated
01/07/2015
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