Individual
KELSEY LYNN CROAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
401 N MAIN ST, LEXINGTON, VA 24450-2652
(540) 464-7280
Mailing address
305 HOUSTON ST APT A, LEXINGTON, VA 24450-2417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002009
VA
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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