Individual
MRS. PATRICIA BEYER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11 INTERLAKEN RD, LAKEVILLE, CT 06039-2101
(860) 435-2591
Mailing address
11 INTERLAKEN RD, P.O. BOX 800, LAKEVILLE, CT 06039-2101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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