Individual
MS. KELLIE E GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
1996 HAWK BLVD, CHESAPEAKE, VA 23322-2124
(757) 353-2622
Mailing address
746 S LAKE CIR, CHESAPEAKE, VA 23322-8365
(757) 353-2622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000874
VA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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