Individual
KELLY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
211 RED BIRD LANE, CAMPUS BOX 10611/ ATHLETIC TRAINING, BEAUMONT, TX 77710
(559) 730-1059
Mailing address
211 RED BIRD LANE, CAMPUS BOX 10611/ ATHLETIC TRAINING, BEAUMONT, TX 77710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6954
TX
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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