Individual
KELLEY ELIZABETH LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.HRD, ATC/LAT
Contact information
Practice address
50 SANDPIPER LN, ORMOND BEACH, FL 32174-4264
(850) 559-1419
Mailing address
50 SANDPIPER LN, ORMOND BEACH, FL 32174-4264
(850) 559-1419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3146
FL
Other
Enumeration date
10/12/2012
Last updated
07/29/2026
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