Individual
KELSEY NICOLE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(205) 234-4640
Mailing address
103 BRECKENRIDGE DR APT 304, HATTIESBURG, MS 39402-7328
(205) 234-4640
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1109
MS
Other
Enumeration date
10/14/2022
Last updated
07/27/2023
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