Individual
NICHOLAS MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 SOUREK RD, AKRON, OH 44333-2707
(234) 542-9072
Mailing address
1118 BOULDER LN APT 302, KENT, OH 44240-8236
(234) 542-9072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2023
Last updated
07/27/2024
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