Individual
BENJAMIN FRANK KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C, L.A.T.
Contact information
Practice address
1000 E UNIVERSITY AVE DEPT 3414, LARAMIE, WY 82071-2000
(307) 766-5052
Mailing address
1000 E UNIVERSITY AVE DEPT 3414, LARAMIE, WY 82071-2000
(307) 766-5052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
059
WY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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