Individual
KELSEY ELIZABETH WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-4000
Mailing address
628 WASHINGTON DR, CHESAPEAKE, VA 23322-7422
(757) 816-6682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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