Individual
KELLY THOMAS ARENDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LAT, ATC,
Contact information
Practice address
501 WESTMINSTER AVE, FULTON, MO 65251-1299
(573) 592-5332
Mailing address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(660) 248-6978
(660) 248-6381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017010116
MO
Other
Enumeration date
08/02/2017
Last updated
12/02/2019
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