Individual
MARY CAITLIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
445 PORTERFIELD HWY, ABINGDON, VA 24210-0024
(276) 623-0153
Mailing address
PO BOX 24, DAMASCUS, VA 24236-0024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002106
VA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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