Individual
AMBER KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
600 MOONGLOW RD APT 302, ODENTON, MD 21113-1494
(336) 264-0758
Mailing address
600 MOONGLOW RD APT 302, ODENTON, MD 21113-1494
(336) 264-0758
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000177
MD
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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