Individual
MS. KELLY LYNN BERARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, ATC
Contact information
Practice address
13422 NEWPORT AVE STE L, TUSTIN, CA 92780-3746
(714) 544-1521
Mailing address
523 S NATURE WAY, ORANGE, CA 92866-3381
(714) 496-3516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/10/2023
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