Individual
KEVIN KELENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
S32W27721 DALEVIEW DR, WAUKESHA, WI 53189-6023
(262) 442-1378
Mailing address
S32W27721 DALEVIEW DR, WAUKESHA, WI 53189-6023
(262) 442-1378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002245
VA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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