Individual
KELCIE ANNE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3534 E HALL RD, GAINESVILLE, GA 30507-7111
(770) 722-2750
Mailing address
5827 RIDGEDALE CT, GAINESVILLE, GA 30506-6950
(770) 722-2750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004007
GA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2020
Last updated
03/15/2022
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