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Individual

KELLY LYNN KIMMEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
402 COLONIAL RIDGE LN, ARNOLD, MD 21012-2334
(410) 991-8234
Mailing address
402 COLONIAL RIDGE LN, ARNOLD, MD 21012-2334
(410) 991-8234

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/18/2006
Last updated
07/08/2007
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