Individual
CHAD KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 W MAIN ST, WHITEWATER, WI 53190-1705
(262) 472-5944
(262) 472-5691
Mailing address
112 MICHELLE DR, JOHNSON CREEK, WI 53038-9443
(262) 427-5944
(262) 472-5691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
512-39
WI
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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