Individual
KELSEY BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 MAIN ST APT 6, LUBBOCK, TX 79401-5902
(806) 891-8152
Mailing address
2115 MAIN ST APT 6, LUBBOCK, TX 79401-5902
(806) 891-8152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5568
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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