Individual
KELLY L ENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
17050 431ST AVE SE, NORTH BEND, WA 98045-9650
(425) 736-1475
Mailing address
17026 426TH AVE SE, NORTH BEND, WA 98045-9345
(425) 736-1475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
03/30/2012
Last updated
06/11/2014
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