Individual
MR. TIM F KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1015B MERRITT RD, WEST POINT, NY 10996-1321
(845) 446-5182
Mailing address
1015B MERRITT RD, WEST POINT, NY 10996-1321
(845) 446-5182
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000006-1
NY
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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