Individual
CHARLOTTE KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LATC
Contact information
Practice address
2383 N DRUID HILLS RD NE, ATLANTA, GA 30329-3126
(678) 676-1059
Mailing address
165 RIDGELAND WAY NE, ATLANTA, GA 30305-4357
(571) 332-9630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126000377
VA
2255A2300X
Athletic Trainer
Primary
AT002524
GA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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