Individual
ERICA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
Mailing address
5602 GENEVA AVE, LUBBOCK, TX 79413-4824
(540) 447-4248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5328
TX
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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