Individual
MRS. VANESSA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
9707 TSUCHIYA ROAD, WAIMEA, HI 96796
(808) 338-6810
Mailing address
PO BOX 339, WAIMEA, HI 96796-0339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
23
HI
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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