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Individual

KELLIE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, VATL

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
2425 SHOREHAVEN DR, VIRGINIA BEACH, VA 23454-1749

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002042
VA

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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