Individual
KERRY ALAN CLEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1512 S US HIGHWAY 31, BAY MINETTE, AL 36507-2611
(251) 580-3232
Mailing address
1512 S US HIGHWAY 31, BAY MINETTE, AL 36507-2611
(251) 580-3232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1736
AL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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