Individual
MS. JACLYN KRISTEN KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2211 WAUKEGAN RD, BANNOCKBURN, IL 60015-1570
(847) 267-8600
Mailing address
648 N AIRLITE ST, ELGIN, IL 60123-2675
(847) 741-7439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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