Individual
KELSEY ELIZABETH KIENZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
500 16TH AVE, PROSPECT PARK, PA 19076-1120
(610) 237-6410
Mailing address
500 16TH AVE, PROSPECT PARK, PA 19076-1120
(610) 237-6410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007544
PA
Other
Enumeration date
01/11/2020
Last updated
07/10/2024
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