Individual
BETSY KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
12200 W 106TH ST, 400, OVERLAND PARK, KS 66215-2305
(913) 541-3365
(913) 541-5003
Mailing address
12200 W 106TH ST, 400, OVERLAND PARK, KS 66215-2305
(913) 541-3365
(913) 541-5003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2010028277
MO
2255A2300X
Athletic Trainer
Primary
24-00854
KS
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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