Individual
MICHELLE MARIE KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
29 EVERETT ST, LESLEY UNIVERSITY, CAMBRIDGE, MA 02138-2702
(617) 349-8976
Mailing address
73 ENT RD, HANSCOM AFB, MA 01731-2605
(617) 216-3112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1082
MA
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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