Individual
MR. COLIN MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
140B PEACH LN, WEST LEECHBURG, PA 15656-1506
(412) 760-8961
Mailing address
140B PEACH LN, WEST LEECHBURG, PA 15656-1506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
01/26/2016
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