Individual
KELSEY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 DUDLEYS GRANT DR APT I, WINTERVILLE, NC 28590-7919
(240) 723-5840
Mailing address
8411 GROVE ST, SILVER SPRING, MD 20910-4541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3214
NC
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
07/17/2025
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