Individual
KELSEY LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 W BISHOP BLVD, MITCHELL, IN 47446-1080
(812) 849-3663
Mailing address
909 E EMINENCE WAY, BLOOMINGTON, IN 47401-4524
(401) 487-1146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002213A
IN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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