Individual
KELLY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 EDGEMERE HILL RD, CATSKILL, NY 12414
(518) 965-5554
Mailing address
30 EDGEMERE HILL RD, CATSKILL, NY 12414-5102
(518) 965-5554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390977898
NY
390200000X
Student in an Organized Health Care Education/Training Program
390977898
NY
Other
Enumeration date
04/12/2017
Last updated
08/21/2018
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