Individual
SCOTT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21840 NW 218TH TER, HIGH SPRINGS, FL 32643-9081
(315) 771-8147
Mailing address
21840 NW 218TH TER, HIGH SPRINGS, FL 32643-9081
(315) 771-8147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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