Individual
KELLI MICHELE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(636) 290-5558
Mailing address
1234 N COLGATE AVE, SPRINGFIELD, MO 65802-1195
(636) 290-5558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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