Individual
MEGHAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
103 W MICHIGAN AVE, CLINTON, MI 49236-9577
(517) 456-5080
(517) 456-5149
Mailing address
103 W MICHIGAN AVE, CLINTON, MI 49236-9577
(517) 456-5080
(517) 456-5149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000097
MI
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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