Individual
KELTON WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 US HIGHWAY 180 W, BRECKENRIDGE, TX 76424-8766
(254) 212-9900
Mailing address
7501 US HIGHWAY 180 W, BRECKENRIDGE, TX 76424-8766
(254) 212-9900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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