Individual
MS. KAILI KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
252 E 61ST ST APT 6HS, NEW YORK, NY 10065-0382
(408) 612-5899
Mailing address
252 E 61ST ST APT 6HS, NEW YORK, NY 10065-0382
(408) 612-5899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002474
NY
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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