Individual
KELLI CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5220 EMERSON VILLAGE PL APT 107, INDIANAPOLIS, IN 46237-4038
(812) 584-1608
Mailing address
5220 EMERSON VILLAGE PL APT 107, INDIANAPOLIS, IN 46237-4038
(812) 584-1608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001835A
IN
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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