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Individual

KELLY OCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
320 CHESTNUT HILL RD, STONE RIDGE, NY 12484-5561
(845) 594-9911
Mailing address
320 CHESTNUT HILL RD, STONE RIDGE, NY 12484-5561

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002869-01
NY

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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