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Individual

MISS KELLY M STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-8857
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-2255

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT759
KY

Other

Enumeration date
01/06/2010
Last updated
03/19/2019
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