Individual
MISS KELLY MAUREEN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
MILLSAPS COLLEGE, 1701 N. STATE STREET, JACKSON, MS 39210-0001
(601) 974-1378
Mailing address
MILLSAPS COLLEGE, 1701 N. STATE STREET, JACKSON, MS 39210-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0334
MS
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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