Individual
SCOTT MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1701 E COLTER ST APT 209, PHOENIX, AZ 85016-3374
(602) 803-8212
Mailing address
1701 E COLTER ST APT 209, PHOENIX, AZ 85016-3374
(602) 803-8212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00477
KS
Other
Enumeration date
04/03/2007
Last updated
08/12/2007
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